# FLAGSTAFF SURGICAL ASSOCIATES PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114995271
- **Authorized official:** DANIEL LEE WILSON (MANAGER)
- **Authorized official phone:** (928) 773-2572

## Contact information

- **Practice address:** 77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
- **Practice address phone:** (928) 773-2222
- **Practice address fax:** (928) 773-2598
- **Mailing address:** 77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
- **Mailing address phone:** (928) 773-2222
- **Mailing address fax:** (928) 773-2598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 10/24/2025