Leslie N Nishimi, MD | |
77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | |
(928) 773-2515 | |
(928) 773-2240 |
Full Name | Leslie N Nishimi |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 77 W. Forest Avenue, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285689661 | NPI | - | NPPES |
343674 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 23775 (Arizona) | Primary |
Entity Name | Northern Arizona Radiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275588659 PECOS PAC ID: 4880683085 Enrollment ID: O20040512000043 |
Mailing Address | Practice Location Address |
---|---|
Leslie N Nishimi, MD Dept 2018, Po Box 29675, Phoenix, AZ 85038-9675 Ph: () - | Leslie N Nishimi, MD 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 Ph: (928) 773-2515 |
Paul E Sangster, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 | |
Paul Hiette, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 | |
Dr. Andrew David, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1329 N Beaver St Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2260 Fax: 928-773-2402 | |
Stephanie Renee Rice, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1329 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2261 | |
James Christen Larsen Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 101, Flagstaff, AZ 86001 Phone: 928-773-2515 | |
Michael J. Labenz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2215 Fax: 928-773-2240 |