03D2126618 CLIA NUMBER - Arizona Oncology - Prescott Valley

Laboratory Demographics

CLIA Number: 03D2126618

Facility Name: Arizona Oncology - Prescott Valley

Facility Address:
3188 N Windsong Dr
Prescott Valley, AZ
ZIP 86314
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Facility Phone Number: (928) 775-9430

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1558747725

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 03D2126618
LAB Type PHYSICIAN OFFICE
Facility Name Arizona Oncology - Prescott Valley
Street 3188 N Windsong Dr
City Prescott Valley
State AZ
ZIP 86314
Phone (928) 775-9430

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This page was last updated on: 4/7/2021