NPI 1518193382

Derek Christopher Bontrager, CRCSTCFA

Practitioner Surgical Assistant Flagstaff, AZ

Practice location

Address: 1840 N Jasper Dr STE 2, Flagstaff, AZ 86001-1634
Phone: (866) 974-2673
Fax: (866) 939-2673
Mailing address: 18444 N 25th Ave STE 310, Phoenix, AZ 85023-1266

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 114919 (AZ)

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1518193382
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2009
Record last updated: 14 Jan 2026

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.