Healthcare Provider Details

I. General information

NPI: 1922203728
Provider Name (Legal Business Name): ARIZONA ONCOLOGY SERVICES OF YUMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 11/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W CLARENDON AVE SUITE #350
PHOENIX AZ
85013-3420
US

IV. Provider business mailing address

300 W CLARENDON AVE SUITE #350
PHOENIX AZ
85013-3420
US

V. Phone/Fax

Practice location:
  • Phone: 602-240-3395
  • Fax: 602-240-3539
Mailing address:
  • Phone: 602-240-3395
  • Fax: 602-240-3539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID C BEYER
Title or Position: VP
Credential: MD
Phone: 602-240-3395