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


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
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