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COCHISE ONCOLOGY LLC NPI 1013954858


NPI Information

NPI: 1013954858
Provider Name: COCHISE ONCOLOGY LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
5151 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 803-6644
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COCHISE ONCOLOGY LLC is a radiation oncology radiology in Sierra Vista, 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. COCHISE ONCOLOGY LLC NPI is 1013954858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5151 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635-436
Phone: (520) 803-6644
Fax: (520) 459-3193

The provider's authorized official is Janet Marie Nettleton .
The authorized official title is Director and has the following contact phone number (520) 559-3684.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 2/12/2013.


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
1207RX0202XInternal MedicineMedical OncologyNo
22085R0001XRadiologyRadiation 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
1Z109908MEDICARE 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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