| NPI | 1285703918 |
|---|---|
| Doing Business As | DBA: FLAGSTAFF PEDIATRIC CARE |
| Entity Type | Organization |
| Authorized Contact | LAUREN H. STUART Owner/Treasurer 928-774-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-08-26 |