Vantage Cancer Care - Alabama, LLC

NPI #1669874004 in Daphne, Alabama

Provider Information

NPI Number
1669874004
Entity Type
Organization
Organization Name
Vantage Cancer Care - 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
Radiology - Radiation OncologyRadiation Oncology
Internal Medicine - Medical OncologyMedical Oncology

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Organizations

Provider Name
Vantage Cancer Care Network of Alabama, LLC

Part of Vantage Cancer Care Networks, LLC

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