Healthcare Provider Details

I. General information

NPI: 1952763641
Provider Name (Legal Business Name): MATTHEW RYAN MCFARLANE M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 E COTTONWOOD LN
CASA GRANDE AZ
85122-2949
US

IV. Provider business mailing address

PO BOX 749495
ATLANTA GA
30374-9495
US

V. Phone/Fax

Practice location:
  • Phone: 520-836-9800
  • Fax: 520-836-1510
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number62560
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: