Provider Demographics
NPI:1306983739
Name:ARIZONA ONCOLOGY SERVICES SURGICENTER
Entity type:Organization
Organization Name:ARIZONA ONCOLOGY SERVICES SURGICENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-240-3395
Mailing Address - Street 1:300 W CLARENDON AVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3420
Mailing Address - Country:US
Mailing Address - Phone:602-240-3395
Mailing Address - Fax:602-240-3539
Practice Address - Street 1:300 W CLARENDON AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3420
Practice Address - Country:US
Practice Address - Phone:602-240-3395
Practice Address - Fax:602-240-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03C0001222261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ30WCHJD08OtherT CANTY
AZZ76179OtherR KUSKE
AZZ30WCHJD09OtherE GRADE
AZZ105955OtherK LUK
AZZ29943OtherL CHEN
AZZ24460OtherJ KRESL
AZZ29510OtherF YANG
AZZWCHJD14OtherD BRACHMAN
CAZ105956OtherG LUCAS
AZZ109650OtherH MITSUYAMA
AZZ115004OtherL STEGMAN
AZZ30WCHJD01OtherG MAGGASS
AZZ109521OtherJ ASHMAN
AZZ30WCHJD13OtherC QUIET
AZZ76882 YUMAOtherT GALANG
AZZ80190OtherT TAYLOR
AZZ20516OtherD RECINE
AZZ30WCHJD07OtherD BEYER
AZZ64038OtherI TAW
AZZ80188OtherN FLORES
AZZ124291OtherA TSAI
AZZ124785OtherT DANIELS
AZZ29943OtherL CHEN