Graduated: 2018
NPI: 1033615737
Practice Locations (4)
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
4800 E JOHNSON AVE
JONESBORO, AR 724058413
8709360140
NORTHERN ARIZONA HEALTHCARE CORPORATION
1200 N BEAVER ST, ATTN. MANAGED CARE CONTRACTING
Flagstaff, AZ 860013118
NORTHERN ARIZONA HEALTHCARE CORPORATION
1200 N BEAVER ST
FLAGSTAFF, AZ 860013118
9287793366
NORTHERN ARIZONA HEALTHCARE CORPORATION
1215 N BEAVER ST, SUITE 203
FLAGSTAFF, AZ 860013126
9287732249
Source: CMS National Downloadable File, September 2026.