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

Northern Arizona Gastroenterology

Organization Gastroenterology Physician · NPI 1417902511

Northern Arizona Gastroenterology is a Gastroenterology Physician in Flagstaff, Arizona. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

77 W Forest Ave Ste 210
Flagstaff, AZ 86001-1479
Phone: (928) 773-2547
Fax: (928) 773-2548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1417902511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Hawthorne — President, Northern Arizona Gastroe · (928) 773-2547
NPI enumeratedMay 24, 2006
Last updated in NPPESJanuary 15, 2013
Mailing address77 W Forest Ave, Ste 210, Flagstaff, AZ 86001-1479

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