| Linda Diane Teague, PA-C | |
|
2963 W White Mountain Blvd, Lakeside, AZ 85929-6257 | |
| (928) 368-0765 | |
| (928) 368-4540 |
| Full Name | Linda Diane Teague |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2963 W White Mountain Blvd, Lakeside, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215994462 | NPI | - | NPPES |
| 194209 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1883 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Diane Teague, PA-C 2963 W White Mountain Blvd, Lakeside, AZ 85929-6257 Ph: (928) 368-0765 | Linda Diane Teague, PA-C 2963 W White Mountain Blvd, Lakeside, AZ 85929-6257 Ph: (928) 368-0765 |
Mr. Steven K Struthers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 260 Ste 103, Lakeside, AZ 85929 Phone: 928-537-8777 Fax: 928-537-1914 | |
Richard E Donnelly, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 43 W. White Mountain Blvd, Lakeside, AZ 85929 Phone: 928-367-4040 Fax: 928-367-4042 |