NPI 1003222951

North Country Healthcare-Ponderosa Hs

Organisation Family Medicine Physician Flagstaff, AZ

Practice location

Address: 2384 N Steves Blvd, Flagstaff, AZ 86004-6105
Phone: (928) 522-9410
Fax: (928) 522-9411
Mailing address: PO Box 3630, Flagstaff, AZ 86003-3630

Authorised official

Name: Jennifer Youngberg
Title: Cfo
Phone: (928) 522-9568

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arizona →

Registry record

NPI: 1003222951
Entity type: Organization
NPI issued: 10 Jul 2014
Record last updated: 10 Jul 2014

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.