Organization
H.O.A.N.J., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA M PECK (BILLER)
(928) 753-1191
Entity
Organization
Contact information
Practice address
4263 HWY 68, SUITE C, GOLDEN VALLEY, AZ 86413-8569
(928) 565-3939
(877) 684-3045
Mailing address
3990 STOCKTON HILL RD, SUITE F 368, KINGMAN, AZ 86409-3024
(928) 565-3939
(877) 684-3045
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35245
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080714
—
AZ
Enumeration date
10/09/2008
Last updated
10/09/2008
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