Aspen Family Medicine Pc

NPI 1023130259 - Family Medicine - 207Q00000X

NPI Details
NPI 1023130259
Enumeration Date 04/06/2007
Last Updated 04/10/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRADLEY H BRADLEY
Position DIRECTOR
Phone (928) 774-3627
Fax (927) 774-1400
Practice Location
2912 N WEST ST
FLAGSTAFF AZ, 86004-1974, US
Phone (928) 774-3627
Fax (927) 774-1400
Business Location
2912 N WEST ST
FLAGSTAFF AZ, 86004-1974, US
Phone (928) 774-3627
Fax (927) 774-1400
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1023130259 NPI Number
 

According to our database, Aspen Family Medicine Pc NPI is 1023130259, taxonomy code is 207Q00000X Aspen Family Medicine Pc physically located at 2912 N West St, Flagstaff AZ, 86004-1974. NPI Number 1033115704 has the healthcare provider type.

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1023130259 NPI number is provided on an as is basis without warranty of any kind. 1023130259 is maintained by the National Plan & Provider Enumeration System. The contents of Aspen Family Medicine Pc are for informational purposes only.