Provider Demographics
NPI:1972628675
Name:ARIZONA ONCOLOGY SERVICES INC
Entity type:Organization
Organization Name:ARIZONA ONCOLOGY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BURTON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPEISER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-240-3468
Mailing Address - Street 1:300 W CLARENDON
Mailing Address - Street 2:SUITE 350
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013
Mailing Address - Country:US
Mailing Address - Phone:602-274-4484
Mailing Address - Fax:602-287-9406
Practice Address - Street 1:300 W CLARENDON
Practice Address - Street 2:SUITE 350
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013
Practice Address - Country:US
Practice Address - Phone:602-274-4484
Practice Address - Fax:602-287-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2011-03-09
Deactivation Date:2011-02-23
Deactivation Code:
Reactivation Date:2011-03-09
Provider Licenses
StateLicense IDTaxonomies
AZ117362085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
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ZWCHJD14OtherMEDICARE PTAN NUMBER
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ZWCHJD09OtherMEDICARE PTAN NUMBER
ZWCHJD13OtherMEDICARE PTAN NUMBER
Z30WCHJD07OtherMEDICARE PTAN NUMBER
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Z76882 YUMAOtherMEDICARE PTAN NUMBER
ZWCHJD01OtherMEDICARE PTAN NUMBER
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Z74768OtherMEDICARE PTAN NUMBER
Z105956OtherMEDICARE PTAN NUMBER