Leslie Quandt-Walle, DVM

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

5102-050 Issued in WI

Practice address

3131 E Thunderbird Rd
Suite 59
Phoenix, AZ 85032-5600

Phone

(602) 787-0015

NPI assigned

Jan 6, 2011

Last updated

Jan 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1700180767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E NORTHWOOD DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111549",
            "telephone_number": "480-209-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 E THUNDERBIRD RD",
            "address_2": "SUITE 59",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325600",
            "telephone_number": "602-787-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANDT-WALLE",
        "first_name": "LESLIE",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WI",
            "license": "5102-050",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "AZ",
            "license": "3800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veterinarian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Veterinarian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.