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Contact Information

PHOENIX CANCER AND BLOOD DISORDER TREATMENT INSTITUTE PLLC
967 HANCOCK RD 133
BULLHEAD CITY, AZ86442
 Phone: 928-224-0064
 Fax: 480-842-8608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHOENIX CANCER AND BLOOD DISORDER TREATMENT INSTITUTE PLLC · (Female)

NPI # 1255819736
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2018
Last updated 11/12/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 406031
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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