Healthcare Provider Details

I. General information

NPI: 1164835963
Provider Name (Legal Business Name): ARIZONA ONCOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 02/23/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N WILMOT RD STE 151
TUCSON AZ
85711-2701
US

IV. Provider business mailing address

1760 E RIVER RD STE. # 350
TUCSON AZ
85718-5877
US

V. Phone/Fax

Practice location:
  • Phone: 520-886-0206
  • Fax: 520-886-0289
Mailing address:
  • Phone: 520-519-7775
  • Fax: 520-519-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH BUSCEMA
Title or Position: PRACTICE PRESIDENT
Credential: MD
Phone: 520-886-0206