# DOC MARTINS INC A C C

> 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
- **Other names:** Optum Primary Care, Flagstaff Family Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699724039
- **Authorized official:** EMILY CASTILLO (REGIONAL MANAGER)
- **Authorized official phone:** (702) 480-2550

## Contact information

- **Practice address:** 1501 S YALE ST STE 150, FLAGSTAFF, AZ 86001-7337
- **Practice address phone:** (928) 527-4325
- **Practice address fax:** (928) 527-4327
- **Mailing address:** PO BOX 35380, LAS VEGAS, NV 89133-5380
- **Mailing address phone:** (702) 954-7761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32052 | AZ | Yes |
| 207R00000X | Internal Medicine Physician | 32051 | AZ | — |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 07/25/2024