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Organization

CONCORDIA ONCOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOLLIS EARL SHAW MD (PRESIDENT)
(480) 614-0556
Entity
Organization

Contact information

Practice address
10250 N 92ND ST, SUITE 301, SCOTTSDALE, AZ 85258-4510
(480) 614-0556
(480) 614-9810
Mailing address
10250 N 92ND ST, SUITE 301, SCOTTSDALE, AZ 85258-4510
(480) 614-0556
(480) 614-9810

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
321434
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170879
AZ
Enumeration date
05/04/2007
Last updated
08/20/2007
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