Forest Country Anesthesia Pc

NPI 1700824406 - Anesthesiology - 207L00000X

NPI Details
NPI 1700824406
Enumeration Date 06/03/2006
Last Updated 05/13/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK MARK
Position PRESIDENT
Phone (928) 773-2505
Fax (928) 773-2504
Practice Location
77 W FOREST AVE
SUITE 207
FLAGSTAFF AZ, 86001-1479, US
Phone (928) 773-2505
Fax (928) 773-2504
Business Location
77 W FOREST AVE
SUITE 207
FLAGSTAFF AZ, 86001-1479, US
Phone (928) 773-2505
Fax (928) 773-2504
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
Remove 1700824406 NPI Number
 

According to our database, Forest Country Anesthesia Pc NPI is 1700824406, taxonomy code is 207L00000X Forest Country Anesthesia Pc physically located at 77 W Forest Ave, Flagstaff AZ, 86001-1479. NPI Number 1033115704 has the healthcare provider type.

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1700824406 NPI number is provided on an as is basis without warranty of any kind. 1700824406 is maintained by the National Plan & Provider Enumeration System. The contents of Forest Country Anesthesia Pc are for informational purposes only.