Organization
NORTHSTAR RADIOLOGY - CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LECKIE MD (OWNER)
(775) 853-8422
Entity
Organization
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(608) 788-8103
(608) 788-8799
Mailing address
2031 32ND ST S, LA CROSSE, WI 54601-7099
(608) 788-8103
(608) 788-8799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
08/27/2015
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