MEDICARE: ARIZONA ONCOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	4951	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578821765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA ONCOLOGY

Provider Business Mailing Address
First Line	:	2222 E HIGHLAND AVE
Second Line	:	SUITE 130
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4872
Country	:	US
Telephone Number	:	602-283-7927
Fax Number	:	602-283-3039

Provider Business Practice Location Address
First Line	:	1760 E RIVER RD
Second Line	:	SUITE 350
City	:	TUCSON
State	:	AZ
Zip	:	85718-5877
Country	:	US
Telephone Number	:	520-519-7775
Fax Number	:	520-519-7910

Authorized Official
Title or Position	:	PA-C
Name	:	MS. MEGHAN ANNA WELLS
Credential	:	PA-C
Telephone Number	:	602-283-7927

Provider Enumeration Date	:	04/25/2012
Last Update Date	:	12/04/2012

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Directions to “ARIZONA ONCOLOGY ” Practice Location

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