Northern Arizona Gastroenterology

NPI 1417902511 - Internal Medicine - 207RG0100X

NPI Details
NPI 1417902511
Enumeration Date 05/24/2006
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHANIE D STEPHANIE
Position PRESIDENT, NORTHERN ARIZONA GASTROE
Phone (928) 773-2547
Fax (928) 773-2548
Practice Location
77 W FOREST AVE
STE 210
FLAGSTAFF AZ, 86001-1479, US
Phone (928) 773-2547
Fax (928) 773-2548
Business Location
77 W FOREST AVE
STE 210
FLAGSTAFF AZ, 86001-1479, US
Phone (928) 773-2547
Fax (928) 773-2548
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
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According to our database, Northern Arizona Gastroenterology NPI is 1417902511, taxonomy code is 207RG0100X Northern Arizona Gastroenterology physically located at 77 W Forest Ave, Flagstaff AZ, 86001-1479. NPI Number 1033115704 has the healthcare provider type.

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1417902511 NPI number is provided on an as is basis without warranty of any kind. 1417902511 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Arizona Gastroenterology are for informational purposes only.