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NPI Code Detail

MEDICARE: ARIZONA ONCOLOGY ASSOCIATES PC

MEDICARE: ARIZONA ONCOLOGY ASSOCIATES PC
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
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3332900000XNon-Pharmacy Dispensing Site
4207RH0003XHematology & Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20359491OTHERAZNCPDP

General Provider Information

NPI Number : 1417345919
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA ONCOLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 1760 E RIVER RD
Second Line : STE. # 350
City : TUCSON
State : AZ
Zip : 85718-5877
Country : US
Telephone Number : 520-519-7775
Fax Number : 520-519-7910
Provider Business Practice Location Address
First Line : 19646 N 27TH AVE
Second Line : STE. # 406
City : PHOENIX
State : AZ
Zip : 85027-4028
Country : US
Telephone Number : 623-587-4868
Fax Number : 623-582-9767
Authorized Official
Title or Position : CREDENTIALIST
Name : LINDA WALKER
Credential :
Telephone Number : 520-519-7775
Provider Enumeration Date : 01/06/2015
Last Update Date : 01/07/2016

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Directions to “ARIZONA ONCOLOGY ASSOCIATES PC ” Practice Location

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