Whalio Doctors

NPI 1316240955

First Choice in Home Care

Organisation Exclusive Provider Organization Flagstaff, AZ

Practice location

Address
3321 South Moore Circle, Flagstaff, AZ 86001
Phone
(928) 607-8834
Mailing address
3321 S Moore Cir, Flagstaff, AZ 86001-8501

Authorised official

Name
Dwight C Boyd
Title
Sole Member/ Manager
Phone
(928) 607-8834

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 302F00000X (AZ)

Registry record

NPI
1316240955
Entity type
Organization
NPI issued
20 Dec 2010
Record last updated
20 Dec 2010

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.