Organization
PHOENIX VA HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LESCHAK (REGISTERED DIETITAN)
(602) 277-5551
Entity
Organization
Contact information
Practice address
9258 E 27TH ST, TUCSON, AZ 85710-7405
(520) 403-2757
Mailing address
9258 E 27TH ST, TUCSON, AZ 85710-7405
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
1035321
AZ
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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