Az Bd of Regents for on Behalf of Northern Az University
Az Bd of Regents for on Behalf of Northern Az University is a Primary Care Clinic/Center in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
824 S San Francisco St Bldg 25 Northern Arizona University CampusFlagstaff, AZ 86011-0001
Phone: (928) 523-6343
Fax: (928) 523-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence OTC5149 (AZ) |
|---|---|
| Radiology Clinic/Center | Taxonomy 261QR0200X · Licence 3E115 (AZ) |
| Student Health Clinic/Center | Taxonomy 261QS1000X |
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence 03D0057902 (AZ) |
| Community/Retail Pharmacy | Taxonomy 3336C0003X · Licence Y005336 (AZ) |
Record details
| NPI number | 1891727863 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Haeger — President · (928) 523-6343 |
| NPI enumerated | July 7, 2006 |
| Last updated in NPPES | August 15, 2011 |
| Mailing address | Po Box 6033, Flagstaff, AZ 86011-6033 |
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Integrated Medical Specialists PLC
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Lonny Elson Family Healthcare
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