Individual
LOUISE NOSANCHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 E FRY BLVD, SIERRA VISTA, AZ 85635-1813
(520) 459-8915
(520) 458-9424
Mailing address
77 E FRY BLVD, SIERRA VISTA, AZ 85635-1813
(520) 459-8915
(520) 458-9424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19883
NE
Other
Enumeration date
07/30/2006
Last updated
02/13/2014
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