Healthcare Provider Details

I. General information

NPI: 1548431042
Provider Name (Legal Business Name): AFFILIATED ONCOLOGISTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 N 5TH AVE STE 400
PHOENIX AZ
85013-3811
US

IV. Provider business mailing address

3411 N 5TH AVE STE 400
PHOENIX AZ
85013-3811
US

V. Phone/Fax

Practice location:
  • Phone: 602-248-0448
  • Fax:
Mailing address:
  • Phone: 602-248-0448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number9237
License Number StateAZ

VIII. Authorized Official

Name: DR. ALBERT GUY WENDT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 602-248-0448