Individual
DR. WILLIAM JACKSON LESTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 E SOUTHERN AVE, STE 300, MESA, AZ 85204-5045
(480) 545-8119
(480) 926-8332
Mailing address
1125 E SOUTHERN AVE, STE 300, MESA, AZ 85204-5045
(480) 545-8119
(480) 926-8332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25812
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z142355
MEDICARE PTAN - ARL
AZ
01
—
Z142519
MEDICARE PTAN - EVDI
AZ
Enumeration date
01/24/2006
Last updated
02/16/2011
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