Crystal Canyon Ent & Facial Plastic Surgery Pc in Flagstaff - Otolaryngology/facial Plastic Surgery
Crystal Canyon Ent & Facial Plastic Surgery Pc - NPI 1285780767
Crystal Canyon Ent & Facial Plastic Surgery Pc is a Otolaryngology/facial Plastic Surgery in Flagstaff, Arizona. Crystal Canyon Ent & Facial Plastic Surgery Pc practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. 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 | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | MD3000 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 316762 | AZ | -- | |
| 1000074 | AZ | UNITED HEALTH CARE | |
| AZ0228870 | AZ | BCBSAZ |
Post Comment/ Review Below
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 Otolaryngology/facial Plastic Surgery, and it falls under the taxonomy code 207Yx0905X, 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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