Graduated: 2025
NPI: 1255091583
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
VANDERBILT UNIVERSITY MEDICAL CENTER
1301 MEDICAL CTR DR
NASHVILLE, TN 372320028
6153225000
Source: CMS National Downloadable File, September 2026.