Organization Name: | TRI-VALLEY CANCER RESEARCH & TREATMENT CENTER, INC. |
NPI Number: | 1023316486 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD W HILL (OWNER) |
Mailing Address: | 1876 E Sabin Dr Ste 3 Bldg C Casa Grande |
State: | AZ US |
Postal Code: | 851226197 |
Phone Number: | 5208765770 |
Fax Number: | 5208765767 |
NPI Enumeration Date: | 03/09/2011 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1102X |
License Number: | 16840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Study |
Taxonomy Definition: |