Provider Demographics
NPI:1972077881
Name:PALO VERDE HEMATOLOGY ONCOLOGY LTD
Entity Type:Organization
Organization Name:PALO VERDE HEMATOLOGY ONCOLOGY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-337-2387
Mailing Address - Street 1:13090 N 94TH DR STE 212
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4258
Mailing Address - Country:US
Mailing Address - Phone:855-766-6726
Mailing Address - Fax:602-714-7176
Practice Address - Street 1:13090 N 94TH DR STE 212
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4258
Practice Address - Country:US
Practice Address - Phone:855-766-6726
Practice Address - Fax:602-714-7176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies