NPI | 1699724039 |
---|---|
Doing Business As | OPTUM PRIMARY CARE |
Doing Business As | FLAGSTAFF FAMILY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 32052) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 32051) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2024-07-25 |