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Organization
DHHS IHS PHOENIX AREA
Active
Organization
DHHS IHS PHOENIX AREA
Active
Other names
NATIVE AMERICAN CARDIOLOGY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY VAN DYK MD (ACTING DIRECTOR)
(928) 214-3920
Entity
Organization
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 214-3920
(928) 214-3924
Mailing address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001
(928) 214-3920
(928) 214-3924
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/17/2011
Last updated
07/21/2022
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