specializing in pediatrics in Flagstaff, Arizona

NPI: 1669914552

Provider Type

2

Practice Locations

Mailing Location

1200 N. BEAVER STREET

ATTN: MANAGED CARE CONTRACTING

FLAGSTAFF, AZ 86001

📞 9282136543

📠 9282143613

Practice Location

1200 N. BEAVER STREET

ATTN: PAYER CREDENTIALING

FLAGSTAFF, AZ 86001

📞 9287732546

📠 9282136292

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/9/2016
Last Updated:3/18/2022

Credentials

Primary Credential: