Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Canyon ENT & Facial Plastic Surgery PC

Organization Allergy & Immunology Physician · NPI 1285780767

Crystal Canyon ENT & Facial Plastic Surgery PC is an Allergy & Immunology Physician in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1340 N Rim Dr
Flagstaff, AZ 86001-3111
Phone: (928) 774-1873
Fax: (928) 774-5525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence MD3000 (AZ)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence MD3000 (AZ)

Record details

NPI number1285780767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Taylor — Office Manager · (928) 774-1873
NPI enumeratedJanuary 26, 2007
Last updated in NPPESApril 4, 2013
Mailing address1340 N Rim Dr, Flagstaff, AZ 86001-3111