Healthcare Provider Details

I. General information

NPI: 1043461437
Provider Name (Legal Business Name): ARIZONA CANCER SPECIALISTS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2008
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9055 E. DEL CAMINO SUITE 200
SCOTTSDALE AZ
85258
US

IV. Provider business mailing address

PO BOX 3106
LOS ANGELES CA
90078-3106
US

V. Phone/Fax

Practice location:
  • Phone: 480-922-4600
  • Fax:
Mailing address:
  • Phone: 480-922-4600
  • Fax: 480-955-5231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CORAL A QUIET
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 480-922-4600