Provider Demographics
NPI:1548431042
Name:AFFILIATED ONCOLOGISTS LTD
Entity Type:Organization
Organization Name:AFFILIATED ONCOLOGISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:GUY
Authorized Official - Last Name:WENDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-248-0448
Mailing Address - Street 1:3411 N 5TH AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3811
Mailing Address - Country:US
Mailing Address - Phone:602-248-0448
Mailing Address - Fax:
Practice Address - Street 1:3411 N 5TH AVE
Practice Address - Street 2:STE 400
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3811
Practice Address - Country:US
Practice Address - Phone:602-248-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9237207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ526780179Medicare PIN