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Organization
NORTH COUNTRY HEALTHCARE-PONDEROSA HS
Active
Organization
NORTH COUNTRY HEALTHCARE-PONDEROSA HS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER YOUNGBERG (CFO)
(928) 522-9568
Entity
Organization
Contact information
Practice address
2384 N STEVES BLVD, FLAGSTAFF, AZ 86004-6105
(928) 522-9410
(928) 522-9411
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9410
(928) 522-9411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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