| Larry W Nichols, MD | |
|
590 S Main St, Snowflake, AZ 85937 | |
| (928) 536-7519 | |
| (928) 536-7305 |
| Full Name | Larry W Nichols |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 590 S Main St, Snowflake, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225009608 | NPI | - | NPPES |
| 250308 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14326 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W Nichols, MD 590 S Main St, Snowflake, AZ 85937 Ph: (928) 536-7519 | Larry W Nichols, MD 590 S Main St, Snowflake, AZ 85937 Ph: (928) 536-7519 |
Alan N Dewitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Lincoln David Hiatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Randal Jordan Shumway, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 S Main Street, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-532-2139 |