Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vantage Cancer Care - Arizona, SC

Organization Medical Oncology Physician · NPI 1962804302

Vantage Cancer Care - Arizona, SC is a Medical Oncology Physician in Prescott, Arizona. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

1100 Gail Gardner Way
Prescott, AZ 86305-1690
Phone: (928) 776-1040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X
Radiation Oncology Physician Taxonomy 2085R0001X

Record details

NPI number1962804302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Botnick — President · (323) 595-5769
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 17, 2014
Mailing address1500 Rosecrans Ave, Suite 400, Manhattan Beach, CA 90266-3763

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