| Leslie Canyon Family Medicine, P.s. | |
|
705 Gage Blvd Suite 200 Richland WA 99352-9701 | |
| (509) 628-2331 | |
| (509) 628-0537 |
| Full Name | Leslie Canyon Family Medicine, P.s. |
|---|---|
| Speciality | General Practice |
| Location | 705 Gage Blvd, Richland, Washington |
| Authorized Official Name and Position | Lucien T Megna (PRESIDIENT / CEO) |
| Authorized Official Contact | 5096282331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Canyon Family Medicine, P.s. 705 Gage Blvd Suite 200 Richland WA 99352-9701 Ph: (509) 628-2331 | Leslie Canyon Family Medicine, P.s. 705 Gage Blvd Suite 200 Richland WA 99352-9701 Ph: (509) 628-2331 |
| NPI Number | 1538349030 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538349030 | NPI | - | NPPES |
| 7077993 | Medicaid | WA | |
| 11151316 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | WA00034155 (Washington) | Primary |
Shriners Hospitals For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Swift Blvd Ste A, Richland, WA 99352 Phone: 509-942-2573 Fax: 509-943-5652 | |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-946-0051 | |
Richland Family Medicine Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 George Washington Way, Suite #1, Richland, WA 99352 Phone: 509-946-9664 | |
Kemunto Kakumba Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1446 Spaulding Park, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Robert L. Whitson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 Stevens Dr, Richland, WA 99352 Phone: 509-946-5233 Fax: 509-946-5326 | |
William Kalichman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Gage Blvd, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Barbara L Atwood Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 953 Stevens Dr, Suite B, Richland, WA 99352 Phone: 509-946-0802 Fax: 509-946-0104 |