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NORTHERN ARIZONA RADIATION ONCOLOGY NPI 1336120963


NPI Information

NPI: 1336120963
Provider Name: NORTHERN ARIZONA RADIATION ONCOLOGY
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1200 N. BEAVER STREET
CANCER CENTER OF NORTHERN ARIZONA
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2261
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NORTHERN ARIZONA RADIATION ONCOLOGY is a radiation oncology radiology in Flagstaff, AZ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. NORTHERN ARIZONA RADIATION ONCOLOGY NPI is 1336120963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 N. BEAVER STREET
CANCER CENTER OF NORTHERN ARIZONA
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2261

The provider's authorized official is Andrew K David .
The authorized official title is President and has the following contact phone number (928) 204-4160.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 8/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1109498MEDICAIDARIZONA
20010949804MEDICAIDARIZONA
3Z82414MEDICARE PINARIZONA
4Z82408MEDICARE PINARIZONA
5DC8937OTHERARIZONARR MEDICARE
6Z82410MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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