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NPI Profile for SOUTH ARKANSAS HEMATOLOGY ONCOLOGY CLINIC PA in PINE BLUFF, AR.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine |
| NPI Number | 1093986358 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/14/2008 | |
| Last updated | 10/07/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA