MARQUES SKOT NEILSON

FLAGSTAFF, AZ
NPI1912574377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: AZ  010846)
Additional Taxonomies207Q00000X Family Medicine
(Licence: PA  OT020864)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R4167)
Enumeration Date2021-06-04
Last Update Date2024-07-12
Business Address
MARQUES SKOT NEILSON DO
2920 N 4TH ST
FLAGSTAFF, AZ 86004-1816
Phone number: 928-522-9400
Mailing Address
MARQUES SKOT NEILSON DO
2920 N 4TH ST
FLAGSTAFF, AZ 86004-1816
Phone number: 928-522-9400