Dr Pierre Gladner Desrosiers, DPM | |
Corner Of Rt N12 And N7, Fort Defiance, AZ 86504-0649 | |
(928) 729-8000 | |
Not Available |
Full Name | Dr Pierre Gladner Desrosiers |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 33 Years |
Location | Corner Of Rt N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437138898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 12-00251 (Kansas) | Secondary |
213E00000X | Podiatrist | 000751 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 143 |
Provider Name | The Fort Defiance Indian Hospital Board, Incorporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
---|---|
Dr Pierre Gladner Desrosiers, DPM Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Dr Pierre Gladner Desrosiers, DPM Corner Of Rt N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 |
Mark Maloy Krause, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8825 | |
Craig W Meyer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8819 | |
James Edward Zelichowski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |