Organization Name: | BRANSON ONCOLOGY CLINIC, L.L.C. |
NPI Number: | 1841313475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAIROTE JAROONWANICHKUL (ORGANIZER OF BRANSON ONCOLOGY CLINI) |
Mailing Address: | 545 Branson Landing Boulevard. Suite 404 Branson |
State: | MO US |
Postal Code: | 65616 |
Phone Number: | 4173395500 |
Fax Number: | 4173395505 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 102149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |