Healthcare Provider Details

I. General information

NPI: 1962471698
Provider Name (Legal Business Name): ASSOCIATES IN RADIATION ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13184 N 103RD DR
SUN CITY AZ
85351-3038
US

IV. Provider business mailing address

13184 N 103RD DR
SUN CITY AZ
85351-3038
US

V. Phone/Fax

Practice location:
  • Phone: 623-972-2902
  • Fax: 623-972-2539
Mailing address:
  • Phone: 623-972-2902
  • Fax: 623-972-2539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS D. RUNYON
Title or Position: PRESIDENT
Credential: MD
Phone: 623-972-2902