Organization
SONORAN SKIN CANCER TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ALBERTO CABALLERO MSC, DABR (MANAGER)
(480) 267-2641
Entity
Organization
Contact information
Practice address
1425 GREENFIELD ROAD, MESA, AZ 85206
(480) 981-3000
(480) 924-6339
Mailing address
21882 N INGRAM CT, MARICOPA, AZ 85138-9499
(480) 267-2641
(480) 418-3562
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
14068
AZ
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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