| NPI Details | |
|---|---|
| NPI | 1285708701 |
| Enumeration Date | 11/17/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JERRY MICHAEL JERRY MICHAEL |
| Position | COO |
| Phone | (985) 892-6957 |
| Fax | (985) 892-6794 |
| Practice Location | |
|---|---|
| 39 STARBRUSH CIR COVINGTON LA, 70433-7209, US |
|
| Phone | (985) 892-6957 |
| Fax | (985) 892-6794 |
| Business Location | |
|---|---|
| 39 STARBRUSH CIR COVINGTON LA, 70433-7209, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 333600000X |
| License State | Louisiana |
| License Number | 5473IR |
| Remove 1285708701 NPI Number | |
According to our database, Oncology Rx NPI is 1285708701, taxonomy code is 333600000X and license number is 5473IR, license state is located at Louisiana. Oncology Rx physically located at 39 Starbrush Cir, Covington LA, 70433-7209. NPI Number 1033115704 has the healthcare provider type.
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1285708701 NPI number is provided on an as is basis without warranty of any kind. 1285708701 is maintained by the National Plan & Provider Enumeration System. The contents of Oncology Rx are for informational purposes only.
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