MEDICARE: ARIZONA BLOOD AND CANCER SPECIALISTS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RH0000X	Hematology (Internal Medicine) Physician
2	2085R0001X	Radiation Oncology Physician
3	363L00000X	Nurse Practitioner
4	207RX0202X	Medical Oncology Physician
5	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093370918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA BLOOD AND CANCER SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	3945 E PARADISE FALLS DR STE 201
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-6687
Country	:	US
Telephone Number	:	520-689-7030
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 E FORT LOWELL RD STE 130
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1729
Country	:	US
Telephone Number	:	520-881-0631
Fax Number	:	520-526-1773

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	JENNIFER ALEXANDER
Credential	:
Telephone Number	:	916-233-8607

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	01/27/2025

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