Provider Demographics
NPI:1689969677
Name:DESERT SPRINGS CANCER CARE PLC
Entity Type:Organization
Organization Name:DESERT SPRINGS CANCER CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:CROSS
Authorized Official - Last Name:WUENSCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:480-585-4673
Mailing Address - Street 1:21803 N SCOTTSDALE RD
Mailing Address - Street 2:#110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7438
Mailing Address - Country:US
Mailing Address - Phone:480-585-4673
Mailing Address - Fax:480-585-4672
Practice Address - Street 1:21803 N SCOTTSDALE RD
Practice Address - Street 2:#110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7438
Practice Address - Country:US
Practice Address - Phone:480-585-4673
Practice Address - Fax:480-585-4672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35043332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies