| North Country Healthcare-ponderosa Hs | |
|
2384 N Steves Blvd Flagstaff AZ 86004-6105 | |
| (928) 522-9410 | |
| (928) 522-9411 |
| Full Name | North Country Healthcare-ponderosa Hs |
|---|---|
| Speciality | Family Medicine |
| Location | 2384 N Steves Blvd, Flagstaff, Arizona |
| Authorized Official Name and Position | Jennifer Youngberg (CFO) |
| Authorized Official Contact | 9285229568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Healthcare-ponderosa Hs Po Box 3630 Flagstaff AZ 86003-3630 Ph: (928) 522-9410 | North Country Healthcare-ponderosa Hs 2384 N Steves Blvd Flagstaff AZ 86004-6105 Ph: (928) 522-9410 |
| NPI Number | 1003222951 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003222951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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