Kenneth A Giles, MD | |
2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | |
(928) 537-6338 | |
(928) 532-5947 |
Full Name | Kenneth A Giles |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972583797 | NPI | - | NPPES |
423096 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 26100 (Arizona) | Primary |
Entity Name | Summit Healthcare Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
Entity Name | White Mountain Radiology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225018146 PECOS PAC ID: 2365429123 Enrollment ID: O20040630000802 |
Mailing Address | Practice Location Address |
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Kenneth A Giles, MD Po Box 548, Cottonwood, AZ 86326-0548 Ph: (928) 634-0665 | Kenneth A Giles, MD 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 Ph: (928) 537-6338 |
James S Mcevoy, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6338 Fax: 928-532-5947 | |
Mr. Victor R Henderson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Hunt Dr, Ste H, Show Low, AZ 85901 Phone: 928-537-6964 Fax: 928-532-8798 | |
Grant S Berges, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6338 | |
Edgar Jay Pringle, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6338 Fax: 928-532-5947 | |
Heinz Jurgen Krosta, R.T.(R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 3860 S White Mountain Rd Trlr 82, Show Low, AZ 85901 Phone: 936-994-2228 |