# ASPEN FAMILY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspen Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023130259
- **Authorized official:** BRADLEY H FRANK M.D. (DIRECTOR)
- **Authorized official phone:** (928) 774-3627

## Contact information

- **Practice address:** 2912 N WEST ST, FLAGSTAFF, AZ 86004-1974
- **Practice address phone:** (928) 774-3627
- **Practice address fax:** (927) 774-1400
- **Mailing address:** 2912 N WEST ST, FLAGSTAFF, AZ 86004-1974
- **Mailing address phone:** (928) 774-3627
- **Mailing address fax:** (927) 774-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 04/10/2012