Organization
PCR ONCOLOGY, INC.
Active
Other names
PCR Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEIGH PALCHAK M.D. (PHYSICIAN/OWNER)
(805) 474-9143
Entity
Organization
Contact information
Practice address
584 CAMINO MERCADO, ARROYO GRANDE, CA 93420-1816
(805) 474-9143
(805) 474-9569
Mailing address
584 CAMINO MERCADO, ARROYO GRANDE, CA 93420-1816
(805) 474-9143
(805) 474-9569
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G60994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G609940
BLUE SHIELD
CA
05
—
00G609941
—
CA
01
—
110116966
RAILROAD MEDICARE
CA
Enumeration date
04/26/2013
Last updated
12/05/2022
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