| Camelot Cancer Care Inc | |
|
6804 S Canton Ave Suite 110 Tulsa OK 74136-3423 | |
| (918) 493-1011 | |
| (918) 493-1011 |
| Full Name | Camelot Cancer Care Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 6804 S Canton Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Lynn Karin Jennings (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9184931011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camelot Cancer Care Inc 6804 S Canton Ave Suite 110 Tulsa OK 74136-3423 Ph: (918) 493-1011 | Camelot Cancer Care Inc 6804 S Canton Ave Suite 110 Tulsa OK 74136-3423 Ph: (918) 493-1011 |
| NPI Number | 1396012407 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396012407 | NPI | - | NPPES |
| 18381 | Other | OK | STATE OF OKLAHOMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18381 (Oklahoma) | Primary |
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