Dr John Willis Kiessling, DO | |
39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | |
(760) 507-8473 | |
(760) 507-8316 |
Full Name | Dr John Willis Kiessling |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 39000 Bob Hope Dr, Rancho Mirage, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497101729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 20A16987 (California) | Primary |
Entity Name | Arrowhead Neurosurgical Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639255854 PECOS PAC ID: 7315900644 Enrollment ID: O20041108001131 |
Mailing Address | Practice Location Address |
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Dr John Willis Kiessling, DO 108 W Jefferson St Apt 809, Syracuse, NY 13202-2524 Ph: (215) 796-5979 | Dr John Willis Kiessling, DO 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 507-8473 |
Farhad M Limonadi, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 72780 Country Club Dr Ste A104, Rancho Mirage, CA 92270 Phone: 760-895-0639 Fax: 760-423-6339 | |
Dr. Alfred C. Shen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 72780 Country Club Dr Ste A104, Rancho Mirage, CA 92270 Phone: 760-895-0639 Fax: 760-423-6339 |