Individual
DR. LENORAH A WOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-4911
(928) 338-5508
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45131
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020561
—
AZ
05
—
846916
—
AZ
01
—
HSZ2958RBU
WHITERIVER SU
—
01
—
HSZ958RBV
CBQ CLINIC
—
Enumeration date
06/10/2008
Last updated
02/07/2014
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