FOUR PEAKS HEALTH CARE ASSOCIATES PLLC NPI 1720450232

NPI Information

FOUR PEAKS HEALTH CARE ASSOCIATES PLLC is a primary care clinic center in Flagstaff, AZ. FOUR PEAKS HEALTH CARE ASSOCIATES PLLC NPI is 1720450232. The provider is registered as an organization entity type.

The provider's business location address is:

930 N SWITZER CANYON DR STE 102B
FLAGSTAFF, AZ
ZIP 86001-834
Phone: (928) 773-9714
Fax: (877) 461-0613

The provider's authorized official is Theresa Dowell .
The authorized official title is Medical Director and has the following contact phone number (928) 773-9714.

The CLIA number assigned to this NPI record is 03D2106068 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2015 and was last updated on 5/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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