Basic Information
| Provider Information | |||||||||
| NPI: | 1790959450 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SONORAN DESERT ONCOLOGY PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1320 W 24TH ST | ||||||||
| Address2: | |||||||||
| City: | YUMA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853646233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283431000 | ||||||||
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| Address1: | 1320 W 24TH ST | ||||||||
| Address2: | |||||||||
| City: | YUMA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853646233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283734214 | ||||||||
| FaxNumber: | 9283734206 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2008 | ||||||||
| LastUpdateDate: | 08/17/2010 | ||||||||
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| AuthorizedOfficialLastName: | FINCH | ||||||||
| AuthorizedOfficialFirstName: | RONDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9283174214 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.