Organization
BCG ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD LEE LAMM M.D. (PRESIDENT)
(602) 493-6626
Entity
Organization
Contact information
Practice address
16620 N 40TH STREET, SUITE E, PHOENIX, AZ 85032-3357
(602) 493-6626
(602) 996-1383
Mailing address
PO BOX 55016, PHOENIX, AZ 85078-5016
(602) 493-6626
(602) 996-1383
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29562
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597320
—
AZ
Enumeration date
10/03/2006
Last updated
09/22/2011
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