Healthcare Provider Details

I. General information

NPI: 1205172467
Provider Name (Legal Business Name): ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N SCOTTSDALE RD SUITE 300
SCOTTSDALE AZ
85251-5648
US

IV. Provider business mailing address

5750 W THUNDERBIRD RD SUITE C300
GLENDALE AZ
85306-4660
US

V. Phone/Fax

Practice location:
  • Phone: 480-949-7808
  • Fax: 480-946-4850
Mailing address:
  • Phone: 480-949-7808
  • Fax: 480-946-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. PAULA J JOHNSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 480-949-7808