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Contact Information

GILLES LACHANCE, MD
807 S PONDEROSA ST
PAYSON, AZ85541-5542
 Phone: 928-474-5729
 Fax: 928-472-8205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for GILLES LACHANCE · (Male)

NPI Number 1235124397
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2005
Last updated 03/25/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 31601
  • AZ Medicaid 779316
  • AZ Other 779316 AHCCCS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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