NPI 1386834844

Mohave Medical Oncology Center

Organisation Hematology & Oncology Physician Kingman, AZ

Practice location

Address: 3801 Santa Rosa Suite 200, Kingman, AZ 86401-2311
Phone: (702) 471-7779
Fax: (702) 471-0484
Mailing address: PO Box 777550, Henderson, NV 89077-7550

Authorised official

Name: Julie Linn Konie
Title: Practice Manager
Phone: (702) 471-7779

Registered specialties

Hematology & Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RH0003X Licence MD18958 (AZ)

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Registry record

NPI: 1386834844
Entity type: Organization
NPI issued: 30 Jul 2007
Record last updated: 31 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.