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VANTAGE CANCER CARE NETWORK OF ALABAMA LLC NPI 1649672080


NPI Information

NPI: 1649672080
Provider Name: VANTAGE CANCER CARE NETWORK OF ALABAMA, LLC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
29653 ANCHOR CROSS BLVD
DAPHNE, AL
ZIP 36526
Phone: (251) 626-1755
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VANTAGE CANCER CARE NETWORK OF ALABAMA, LLC is a medical oncology internal medicine in Daphne, AL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. VANTAGE CANCER CARE NETWORK OF ALABAMA, LLC NPI is 1649672080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29653 ANCHOR CROSS BLVD
DAPHNE, AL
ZIP 36526-594
Phone: (251) 626-1755

The provider's authorized official is Steven Udicious .
The authorized official title is Vice President, General Counsel and has the following contact phone number (610) 519-0550.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 10/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyNo
2207RX0202XInternal MedicineMedical OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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