OrganizationActive
Vantage Cancer Care - Arizona, S.c.
NPI 1962804302 · Medical Oncology Physician · Prescott, AZ
Provider details
- NPI number
- 1962804302
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leslie Botnick, President(323) 595-5769
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
Practice location
1100 Gail Gardner Way
Prescott, AZ 86305-1690
Phone: (928) 776-1040
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Rosecrans Ave
Manhattan Beach, CA 90266-3763
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2014-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.