Healthcare Provider Details

I. General information

NPI: 1235050790
Provider Name (Legal Business Name): ARIZONA SPECIALTY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 HANCOCK RD STE 133
BULLHEAD CITY AZ
86442-5142
US

IV. Provider business mailing address

967 HANCOCK RD STE 133
BULLHEAD CITY AZ
86442-5142
US

V. Phone/Fax

Practice location:
  • Phone: 928-404-1938
  • Fax:
Mailing address:
  • Phone: 928-404-1938
  • Fax: 928-404-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE HOVEY
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential:
Phone: 702-990-4761