Healthcare Provider Details
I. General information
NPI: 1720491525
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: 02/21/2023
Certification Date: 02/21/2023
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
1760 E RIVER RD STE. # 350
TUCSON AZ
85718-5877
US
V. Phone/Fax
- Phone: 520-416-5744
- Fax: 602-476-5156
- Phone: 520-519-7775
- Fax: 520-519-7910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-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