Hematology-Oncology Associates of Eastern Idaho, Pllc
NPI #1144309253 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1144309253
- Entity Type
- Organization
- Organization Name
- Hematology-Oncology Associates of Eastern Idaho, Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 2008 LAUREL AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-5808
- Phone
- (651) 414-0971
Authorized Official
- Name
- KEVIN PATRICK MULVEY, MD
- Title
- OWNER
- Phone
- (651) 414-0971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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