Organization Name: | CONWAY HEMATOLOGY ONCOLOGY |
NPI Number: | 1962618769 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE TSUDA (PHYSICIAN) |
Mailing Address: | 2605 College Ave Conway |
State: | AR US |
Postal Code: | 720346133 |
Phone Number: | 5013272995 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C8494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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. |