Organization · Type 2 NPI
University Hematology Oncology Inc
Specialist · Mount Vernon, IL
NPI number
1871907790
Active
Practice location
#11 Cusumano Professional Plaza
Mount Vernon, IL 62864
Fax (618) 532-1892
Mailing address
2325 Dougherty Ferry Rd, Suite 204
St. Louis, MO 63122-3356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036-043-159 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1871907790
University Hematology Oncology Inc's National Provider Identifier is 1871907790, issued on Jun 18, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jun 18, 2014.