Healthcare Provider Details

I. General information

NPI: 1538275797
Provider Name (Legal Business Name): ARIZONA ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 N 2ND STREET STE 400
PHOENIX AZ
85012
US

IV. Provider business mailing address

1760 E RIVER ROAD 350
TUCSON AZ
85718
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-4868
  • Fax: 520-519-5175
Mailing address:
  • Phone: 520-519-7720
  • Fax: 520-519-5175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3378
License Number StateAZ

VIII. Authorized Official

Name: MS. CHRISTINA PAULA DAVIS
Title or Position: PA
Credential: PAC
Phone: 520-519-7720