Healthcare Provider Details

I. General information

NPI: 1205086378
Provider Name (Legal Business Name): DESERT SPRINGS CANCER CARE, P.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 S 52ND ST SUITE 101
TEMPE AZ
85284-1046
US

IV. Provider business mailing address

8950 S 52ND ST SUITE 101
TEMPE AZ
85284-1046
US

V. Phone/Fax

Practice location:
  • Phone: 602-441-9520
  • Fax:
Mailing address:
  • Phone: 602-441-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number30123
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35043
License Number StateAZ

VIII. Authorized Official

Name: LESLIE A MENG
Title or Position: PARTNER
Credential: M.D.
Phone: 602-441-9520