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1366278913
PORVAZNIK FAMILY MEDICINE PLLC
FLAGSTAFF, AZ
NPI
1366278913
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Entity Type
Organization
Authorized Contact
MARY PORVAZNIK
Owner
301-801-2577
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
PORVAZNIK FAMILY MEDICINE PLLC
5200 E CORTLAND BLVD STE D3
FLAGSTAFF, AZ 86004-9340
Phone number: 928-440-5929
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Mailing Address
PORVAZNIK FAMILY MEDICINE PLLC
5200 E CORTLAND BLVD STE D3
FLAGSTAFF, AZ 86004-9340
Phone number: 928-440-5929
Copy
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