Vantage Cancer Care Network of Arizona, S.c.

NPI #1457753592 in Prescott, Arizona

Provider Information

NPI Number: 1457753592
Entity Type: Organization
Organization Name: Vantage Cancer Care Network of Arizona, S.c.
Primary Specialty: Internal Medicine - Medical Oncology
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 1100 GAIL GARDNER WAY
City: Prescott
State: Arizona
ZIP Code: 86305-1690
Phone: (928) 776-1040

Authorized Official

Name: DR. LESLIE E. BOTNICK, M.D.
Title: PRESIDENT
Phone: (323) 595-5769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Radiation Oncology — Radiation Oncology	2085R0001X
Internal Medicine - Medical Oncology — Medical Oncology	207RX0202X	Primary

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Organizations

Provider Name	Specialty	City
Vantage Cancer Care - Arizona, S.c.	Internal Medicine - Medical Oncology	Prescott	AI Deep Dive

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