Organization
VINCERE CANCER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO PRICHARD MD (SOLE MEMBER)
(602) 331-7811
Entity
Organization
Contact information
Practice address
7469 E MONTE CRISTO AVE, SCOTTSDALE, AZ 85260-1618
(480) 659-0606
(602) 331-5886
Mailing address
PO BOX 207433, DALLAS, TX 75320-7429
(480) 625-0003
(480) 842-8760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
09/08/2017
Last updated
12/04/2019
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