Healthcare Provider Details

I. General information

NPI: 1972628675
Provider Name (Legal Business Name): ARIZONA ONCOLOGY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date: 02/23/2011
Reactivation Date: 03/09/2011

III. Provider practice location address

300 W CLARENDON SUITE 350
PHOENIX AZ
85013
US

IV. Provider business mailing address

300 W CLARENDON SUITE 350
PHOENIX AZ
85013
US

V. Phone/Fax

Practice location:
  • Phone: 602-274-4484
  • Fax: 602-287-9406
Mailing address:
  • Phone: 602-274-4484
  • Fax: 602-287-9406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number11736
License Number StateAZ

VIII. Authorized Official

Name: BURTON L SPEISER
Title or Position: PRESIDENT
Credential: MD
Phone: 602-240-3468