Provider Demographics
NPI:1962471698
Name:ASSOCIATES IN RADIATION ONCOLOGY
Entity Type:Organization
Organization Name:ASSOCIATES IN RADIATION ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:RUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-972-2902
Mailing Address - Street 1:13184 N 103RD DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3038
Mailing Address - Country:US
Mailing Address - Phone:623-972-2902
Mailing Address - Fax:623-972-2539
Practice Address - Street 1:13184 N 103RD DR
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3038
Practice Address - Country:US
Practice Address - Phone:623-972-2902
Practice Address - Fax:623-972-2539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ30WCHBQMedicare ID - Type Unspecified