NPI 1619026564

Woodlands Oral & Maxillofacial Surgery PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Flagstaff, AZ

Practice location

Address: 1635 S Plaza Way, Flagstaff, AZ 86001-7102
Phone: (928) 214-7052
Fax: (928) 214-7059

Authorised official

Name: Mark Allen Crane
Title: President
Phone: (928) 214-7052

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 26402 (AZ)

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Registry record

NPI: 1619026564
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 22 Aug 2020

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.