| NPI | 1093499303 |
|---|---|
| Doing Business As | NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP-FLAGSTAFF |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LOADER CFO 928-773-2282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC1900X Psychologist, Counseling | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-07-29 |