Organization
HRMC, LLC
Active
Other names
Cancer Care of Western Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD J BIVACCA (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 453-3761
(928) 453-3771
Mailing address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 453-3761
(928) 453-3771
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
06/14/2010
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