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 | |
Specialist |
174400000X |
| NPI # | 1508947342 |
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| LBN Legal business name | PENINSULA CANCER INSTITUTE, LLC | ||||||||||||||||||||||||
| Authorized official | BRADEN MILLER - (CFO) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 10/18/2006 | ||||||||||||||||||||||||
| Last updated | 04/28/2026 - About a month ago | ||||||||||||||||||||||||
| Identifiers |
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