| Gilles Lachance, MD | |
|
807 S Ponderosa St, Payson, AZ 85541-5542 | |
| (928) 474-5729 | |
| (928) 472-8205 |
| Full Name | Gilles Lachance |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 807 S Ponderosa St, Payson, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235124397 | NPI | - | NPPES |
| 779316 | Medicaid | AZ | |
| 779316 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 31601 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gilles Lachance, MD 9250 N 3rd St, Suite 4010, Phoenix, AZ 85020-2437 Ph: (602) 633-3848 | Gilles Lachance, MD 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (928) 474-5729 |
Dr. Larry Gene Cromwell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1357 Fax: 928-472-1290 | |
Dr. Jeffrey Craig Crosby, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1380 |