Provider Demographics
NPI:1811046949
Name:MISSOURI HEMATOLOGY & ONCOLOGY, P.C.
Entity type:Organization
Organization Name:MISSOURI HEMATOLOGY & ONCOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:JANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-645-3432
Mailing Address - Street 1:6400 CLAYTON RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1850
Mailing Address - Country:US
Mailing Address - Phone:314-645-3432
Mailing Address - Fax:314-645-3191
Practice Address - Street 1:6400 CLAYTON RD
Practice Address - Street 2:SUITE 302
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1850
Practice Address - Country:US
Practice Address - Phone:314-645-3432
Practice Address - Fax:314-645-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty