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

Flagstaff Surgical Associates PA

Organization Surgical Critical Care Physician · NPI 1114995271

Flagstaff Surgical Associates PA is a Surgical Critical Care Physician in Flagstaff, Arizona. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 W Forest Ave Ste 201
Flagstaff, AZ 86001-1483
Phone: (928) 773-2222
Fax: (928) 773-2598
Show map & directions

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

Additional practice locations (1)

  • 77 W Forest Ave Ste 212, Flagstaff, AZ 86001-1481 — (928) 773-2222

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X

Record details

NPI number1114995271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Wilson — Manager · (928) 773-2572
NPI enumeratedMarch 14, 2006
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address77 W Forest Ave Ste 201, Flagstaff, AZ 86001-1483

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