Organization Name: | SSM CANCER CARE, INC |
NPI Number: | 1487963179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLIS HAWKINS (PRESIDENT) |
Mailing Address: | 400 Medical Plz Suite 100 Lake Saint Louis |
State: | MO US |
Postal Code: | 633671490 |
Phone Number: | 6366398600 |
Fax Number: | 6366398676 |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |