Vantage Cancer Care Network of Alabama, LLC

NPI #1649672080 in Daphne, Alabama

Provider Information

NPI Number: 1649672080
Entity Type: Organization
Organization Name: Vantage Cancer Care Network of Alabama, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VANTAGE CANCER CARE NETWORKS, LLC
Primary Specialty: Internal Medicine - Medical Oncology
Enumeration Date: Sep 17, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 29653 ANCHOR CROSS BLVD
City: Daphne
State: Alabama
ZIP Code: 36526-9594
Phone: (251) 626-1755

Authorized Official

Name: MR. STEVEN UDICIOUS, ESQUIRE
Title: VICE PRESIDENT, GENERAL COUNSEL
Phone: (610) 519-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Radiation Oncology — Radiation Oncology	2085R0001X
Internal Medicine - Medical Oncology — Medical Oncology	207RX0202X	Primary

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Organizations

Provider Name	Specialty	City
Vantage Cancer Care - Alabama, LLC Part of Vantage Cancer Care Networks, LLC	Internal Medicine - Medical Oncology	Daphne	AI Deep Dive

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