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Organization

RADIATION ONCOLOGISTS OF CENTRAL ARIZONA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN KRESL M.D., PH.D (MANAGEMENT/COMMITTEE MEMBER)
(602) 441-3845
Entity
Organization

Contact information

Practice address
4611 E. SHEA BLVD, STE 120, PHOENIX, AZ 85028-4245
(602) 441-3845
(602) 464-9769
Mailing address
4611 E. SHEA BLVD, STE 120, PHOENIX, AZ 85028-4254
(602) 441-3845
(602) 464-9769

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
391486
AZ
Enumeration date
10/28/2008
Last updated
01/21/2016
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