Jefferson Regional Cancer Center
NPI #1568001386 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1568001386
- Entity Type
- Organization
- Organization Name
- Jefferson Regional Cancer Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JEFFERSON HOSPITAL ASSOCIATION, INC
- Primary Specialty
- Clinic/Center - Oncology
- Enumeration Date
- Dec 26, 2019
- Last Updated
- Dec 26, 2019
Practice Location
- Address
- 1609 W 40TH AVE STE 205
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-6367
- Phone
- (870) 534-1188
Authorized Official
- Name
- BRYAN JACKSON
- Title
- CFO
- Phone
- (605) 677-3312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oncology — Oncology |
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