Ccent & Fps
Ccent & Fps is an Allergy & Immunology Physician in Lakeside, Arkansas. Licensed in Arizona. Registered with an NPI since 2008.
- Licensed in
- AZ
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address may be wrong
300 W White Mountain Blvd Ste DLakeside, AR 85929-6533
Phone: (928) 774-1873
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy & Immunology Physician (primary) | Taxonomy 207K00000X · Licence 3000 (AZ) |
|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | Taxonomy 207YX0905X · Licence 3000 (AZ) |
Record details
| NPI number | 1467629469 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ccent & Fps |
| Authorized official | Tamarah Fratianni — Physician · (928) 774-1873 |
| NPI enumerated | May 9, 2008 |
| Last updated in NPPES | May 9, 2008 |
| Mailing address | 1340 N Rim Drive, Flagstaff, AZ 86001-1311 |