Midwest Oncology Group Pllc

NPI #1386936615 in Edmond, Oklahoma

Provider Information

NPI Number: 1386936615
Entity Type: Organization
Organization Name: Midwest Oncology Group Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: MIDWEST ONCOLOGY GROUP PLLC
Primary Specialty: Internal Medicine - Hematology & Oncology
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 1227 E 9TH ST
City: Edmond
State: Oklahoma
ZIP Code: 73034-5708
Phone: (405) 359-7358

Authorized Official

Name: STEPHEN A HAMILTON, MD
Title: CREDENTIALING COORDINATOR
Phone: (405) 737-8455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X	Primary

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