Crystal Canyon Ent & Facial Plastic Surgery Pc in Flagstaff - Allergy & Immunology

Crystal Canyon Ent & Facial Plastic Surgery Pc - NPI 1285780767

Crystal Canyon Ent & Facial Plastic Surgery Pc is a Allergy & Immunology in Flagstaff, Arizona. Crystal Canyon Ent & Facial Plastic Surgery Pc practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Crystal Canyon Ent & Facial Plastic Surgery Pc is 1285780767. The last update date is 2013-04-04.

Crystal Canyon Ent & Facial Plastic Surgery Pc's current location address is 1340 N Rim Dr, Flagstaff, Arizona. You can contact this provider via phone number 9287741873 and fax number 9287745525. The mailing address for Crystal Canyon Ent & Facial Plastic Surgery Pc is 1340 N Rim Dr, Flagstaff, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Crystal Canyon Ent & Facial Plastic Surgery Pc
Address 1340 N Rim Dr, Flagstaff, Arizona
Phone Number 9287741873
Fax Number 9287745525
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Taylor A Pamela
Telephone Number 9287741873

NPI Number Detail

NPI Number 1285780767
Provider Enumeration Date 2007-01-26
Last Updated Date 2013-04-04

Provider Mailing Address Detail

Address 1340 N Rim Dr
City Flagstaff
State Arizona (AZ)
Post Code 860013111
Phone Number 9287741873
Fax Number 9287745525

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No MD3000
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
316762 AZ --
1000074 AZ UNITED HEALTH CARE
AZ0228870 AZ BCBSAZ

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FAQs about Crystal Canyon Ent & Facial Plastic Surgery Pc

What is the Crystal Canyon Ent & Facial Plastic Surgery Pc's unique identification number?

The Crystal Canyon Ent & Facial Plastic Surgery Pc has been assigned the NPI (National Provider Identifier) Number 1285780767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Crystal Canyon Ent & Facial Plastic Surgery Pc?

The Crystal Canyon Ent & Facial Plastic Surgery Pc is physically situated at 1340 N Rim Dr, in the city of Flagstaff, state of AZ, with the postal code 860013111.

What is Crystal Canyon Ent & Facial Plastic Surgery Pc's area of expertise and its corresponding taxonomy classification?

The Crystal Canyon Ent & Facial Plastic Surgery Pc's field of specialization is Allergy & Immunology, and it falls under the taxonomy code 207K00000X, which categorizes healthcare providers based on their areas of practice.

When was the Crystal Canyon Ent & Facial Plastic Surgery Pc's 1285780767 issued?

The Crystal Canyon Ent & Facial Plastic Surgery Pc's 1285780767 was issued on 2007-01-26.

When was the information regarding Crystal Canyon Ent & Facial Plastic Surgery Pc most recently updated?

The details pertaining to the Crystal Canyon Ent & Facial Plastic Surgery Pc, including its address, specialty, and other relevant information, were last refreshed on 2013-04-04.

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