# MOHAVE MEDICAL ONCOLOGY CENTER

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

## Provider details

- **NPI number:** 1386834844
- **Authorized official:** JULIE LINN KONIE (PRACTICE MANAGER)
- **Authorized official phone:** (702) 471-7779

## Contact information

- **Practice address:** 3801 SANTA ROSA, SUITE 200, KINGMAN, AZ 86401-2311
- **Practice address phone:** (702) 471-7779
- **Practice address fax:** (702) 471-0484
- **Mailing address:** PO BOX 777550, HENDERSON, NV 89077-7550
- **Mailing address phone:** (702) 471-7779
- **Mailing address fax:** (702) 471-0484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | MD18958 | AZ | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 01/31/2012