Organization
SOUTHWEST ONCOLOGY & HEMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ALAN OLSHAN D.O. (PRESIDENT/PHYSICIAN)
(623) 879-6034
Entity
Organization
Contact information
Practice address
3411 N 5TH AVENUE, SUITE 400, PHOENIX, AZ 85013-3899
(623) 879-6034
(623) 879-8164
Mailing address
3411 N 5TH AVENUE, SUITE 400, PHOENIX, AZ 85013-3899
(623) 879-6034
(623) 879-8164
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1376
AZ
Other
Enumeration date
05/17/2006
Last updated
10/13/2009
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