Graduated: 2008
NPI: 1073764064
Practice Locations (4)
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
AMSURG NORTH VALLEY ANESTHESIA LLC
15255 N 40TH ST, BLDG 8 SUITE 157
PHOENIX, AZ 850324683
6024821001
Source: CMS National Downloadable File, September 2026.