LESLIE QUANDT-WALLE (NPI# 1700180767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700180767 |
| Entity Type | Individual |
| Full Name | LESLIE QUANDT-WALLE |
| Credential | DVM |
| Practice Address |
3131 E Thunderbird Rd Suite 59 Phoenix AZ 85032-5600 |
| Mailing Address |
1109 E Northwood Dr Appleton WI 54911-1549 |
| Practice Telephone | 6027870015 |
| Mailing Telephone | 4802092138 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 5102-050 | WI | Other Service Providers |
| N | 174M00000X | Veterinarian | 3800 | AZ | Other Service Providers |
| Street Address |
3131 E THUNDERBIRD RD SUITE 59 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760497002 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3131 E Thunderbird Rd, Phoenix, AZ 85032-5600 | 2006-07-29 |
| 1073093282 | Eric William Rollender | Pharmacist | 3131 E Thunderbird Rd, Phoenix, AZ 85032-5600 | 2018-08-16 |
| 1376981092 | Tri-city Express Care, Pllc | Clinic/Center | 3131 E Thunderbird Rd, Suite 73, Phoenix, AZ 85032-5600 | 2013-06-05 |
| 1609115997 | Tri-city Express Care, Pllc | General Practice | 3131 E Thunderbird Rd, Suite 73, Phoenix, AZ 85032-5600 | 2013-02-06 |
| 1538469432 | Lillian Jane Dronet | Pharmacist | 3131 E Thunderbird Rd, Phoenix, AZ 85032-5600 | 2010-10-25 |
| 1306177381 | Deborah Ann Binus | Pharmacist | 3131 E Thunderbird Rd, Phoenix, AZ 85032-5600 | 2010-01-15 |
| 1417287590 | David Judson Costlow | Pharmacist | 3131 E Thunderbird Rd, Phoenix, AZ 85032-5600 | 2010-01-12 |
| 1275788036 | Planned Parenthood Arizona | Clinic/Center | 3131 E Thunderbird Rd, Suite 48, Phoenix, AZ 85032-5600 | 2008-11-20 |
| 1316143811 | Paul Micheal Lewandosky | Chiropractor | 3131 E Thunderbird Rd, Suite 7, Phoenix, AZ 85032-5600 | 2007-06-22 |
| 1548299589 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3131 E Thunderbird Rd, Phoenix, AZ 85032-5600 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467820043 | Linda Harry | Veterinarian | 16407 N 33rd Pl, Phoenix, AZ 85032-3111 | 2015-09-12 |
| 1093112427 | Dorie M. Anderssohn | Veterinarian | 2524 W Bethany Home Rd, Phoenix, AZ 85017-2102 | 2014-12-01 |
| 1417389925 | Ryan Broughton Lunt | Veterinarian | 520 W Union Hills Dr Ste 105, Phoenix, AZ 85027-5633 | 2013-08-07 |
| 1437581121 | Michelle R Larsen | Veterinarian | 14429 S 41st Pl, Phoenix, AZ 85044-6147 | 2013-08-05 |
| 1245670363 | Bernard Albert Mangone | Veterinarian | 7771 N 43rd Ave, Phoenix, AZ 85051-5712 | 2013-07-03 |
| 1518303007 | Staci Brigham | Veterinarian | 520 W Union Hills Dr, Suite 105, Phoenix, AZ 85027-5633 | 2013-05-11 |
| 1295170603 | Dusty V Cotter | Veterinarian | 21001 N Tatum Blvd Ste 22, Banfiel The Pet Hospital At Desert Ridge, Phoenix, AZ 85050-4208 | 2013-04-30 |
| 1841635208 | Jessica Ilana March | Veterinarian | 950 W Hatcher Rd, Phoenix, AZ 85021-3139 | 2013-04-29 |
| 1942547260 | Bruce G Bean | Veterinarian | 9226 N 13th Ave, Phoenix, AZ 85021-3022 | 2013-01-07 |
| 1306198437 | James Daniel Styre | Veterinarian | 10825 N Tatum Blvd, Phoenix, AZ 85028-3055 | 2012-10-13 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.