Healthcare Provider Details

I. General information

NPI: 1578976379
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: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 N CRAYCROFT RD STE 200B
TUCSON AZ
85712-2268
US

IV. Provider business mailing address

2625 N CRAYCROFT RD STE 221
TUCSON AZ
85712-2268
US

V. Phone/Fax

Practice location:
  • Phone: 520-416-5744
  • Fax: 602-476-5156
Mailing address:
  • Phone: 520-390-6189
  • 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: LEE ANDREW PENDLETON
Title or Position: MANAGER PHARMACY OPERATIONS
Credential: PHARMD
Phone: 520-390-6189