Provider Demographics
NPI:1942322144
Name:ARIZONA ONCOLOGY SERVICES FOUNDATION
Entity Type:Organization
Organization Name:ARIZONA ONCOLOGY SERVICES FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RESEARCH
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCRC
Authorized Official - Phone:602-240-3383
Mailing Address - Street 1:300 W CLARENDON AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3497
Mailing Address - Country:US
Mailing Address - Phone:602-274-4484
Mailing Address - Fax:602-287-9406
Practice Address - Street 1:300 W CLARENDON AVE STE 350
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3497
Practice Address - Country:US
Practice Address - Phone:602-274-4484
Practice Address - Fax:602-287-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ=========OtherTAX ID