# NORTHWEST ONCOLOGY & HEMATOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003056425
- **Authorized official:** DR. JERRY ALAN OLSHAN DO (PHYSICIAN MANAGER)
- **Authorized official phone:** (623) 879-6034

## Contact information

- **Practice address:** 19636 N 27TH AVE, SUITE 303, PHOENIX, AZ 85027-4013
- **Practice address phone:** (623) 879-6034
- **Practice address fax:** (623) 879-8164
- **Mailing address:** 19636 N 27TH AVE, SUITE 303, PHOENIX, AZ 85027-4019
- **Mailing address phone:** (623) 879-6034
- **Mailing address fax:** (623) 879-8164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 1376 | AZ | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 02/25/2009