# FLAGSTAFF OBGYN LLC

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

## Provider details

- **NPI number:** 1134441785
- **Authorized official:** DR. PHILLIP WILLIAMS MD (OFFICER)
- **Authorized official phone:** (928) 779-1162

## Contact information

- **Practice address:** 1100 N SAN FRANCISCO ST, SUITE B, FLAGSTAFF, AZ 86001-3260
- **Practice address phone:** (928) 779-1162
- **Practice address fax:** (928) 779-1163
- **Mailing address:** 1100 N SAN FRANCISCO ST, SUITE B, FLAGSTAFF, AZ 86001-3260
- **Mailing address phone:** (928) 779-1162
- **Mailing address fax:** (928) 779-1163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 3807 | AZ | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2010
- **Last updated:** 07/09/2021