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NPI Code Detail

MEDICARE: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC

MEDICARE: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1104132166
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC
Provider Business Mailing Address
First Line : 2234 COLONIAL BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1412
Country : US
Telephone Number : 239-931-7342
Fax Number : 293-931-7385
Provider Business Practice Location Address
First Line : 1811 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-374-2090
Fax Number :
Authorized Official
Title or Position : CEO/PRESIDENT
Name : DANIEL E. DOSORETZ
Credential : MD
Telephone Number : 239-931-7277
Provider Enumeration Date : 08/27/2010
Last Update Date : 08/27/2010

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Directions to “ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC ” Practice Location

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