Organization
NORTHSTAR IMAGING MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G LECKIE MD (TREASURER)
(775) 813-8054
Entity
Organization
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2111
Mailing address
PO BOX 32936, KNOXVILLE, TN 37930-2936
(877) 905-6553
(608) 788-8799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/16/2014
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