NPI 1003155474

Medical Firefighter INC

Organisation Hospitalist Physician Fort Defiance, AZ

Practice location

Address: Corner of N12 & N7 Fd 2371 Red Rock Circle, Fort Defiance, AZ 86504
Phone: (509) 420-5125
Fax: (614) 861-5537
Mailing address: PO Box 2331, Fort Defiance, AZ 86504-2331

Authorised official

Name: Grace Hercl
Title: Physician
Phone: (509) 420-5125

Registered specialties

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence OP 60046454 (WA)

Other Hospitalist providers in Arizona →

Registry record

NPI: 1003155474
Entity type: Organization
NPI issued: 5 Feb 2013
Record last updated: 23 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.