MEDICARE: NORTHWEST ALLIED PHYSICIANS LLC

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
1	261QX0203X	Radiation Oncology Clinic/Center

General Provider Information

NPI Number	:	1104789734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST ALLIED PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:	615-465-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5670 N PROFESSIONAL PARK DR STE 120
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7821
Country	:	US
Telephone Number	:	520-618-1010
Fax Number	:	520-784-7040

Authorized Official
Title or Position	:	DIRECTOR PROVIDER ENROLLMENT
Name	:	KRISTY MUSIC
Credential	:
Telephone Number	:	615-465-7377

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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