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Contact Information

CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
104 NW 31ST ST
LAWTON, OK73505-6100
 Phone: 580-536-2121
 Fax: 580-536-2150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CANCER CENTERS OF SOUTHWEST OKLAHOMA LLC · (Female)

NPI Number 1073787792
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2008
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200280260B
  • OK Medicaid 200280260F
  • OK Other 6502330001 NSC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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