Healthcare Provider Details

I. General information

NPI: 1821052069
Provider Name (Legal Business Name): FARLEY E YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 N 92ND ST STE 101
SCOTTSDALE AZ
85258-4547
US

IV. Provider business mailing address

8283 N HAYDEN RD STE 155
SCOTTSDALE AZ
85258-2455
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number27756
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: