Healthcare Provider Details

I. General information

NPI: 1548138001
Provider Name (Legal Business Name): PALO VERDE HEMATOLOGY ONCOLOGY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 W THOMAS RD STE 150
PHOENIX AZ
85037-3382
US

IV. Provider business mailing address

7373 N SCOTTSDALE RD STE E100
SCOTTSDALE AZ
85253-3544
US

V. Phone/Fax

Practice location:
  • Phone: 602-248-1007
  • Fax: 602-644-3650
Mailing address:
  • Phone: 480-941-1211
  • Fax: 602-644-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELVIRA ENCISO
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 602-375-6229