Organization
FOREST CANYON ENDOSCOPY &SURGERY CTR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DUNCAN (EXECUTIVE ADMIN)
(928) 774-3044
Entity
Organization
Contact information
Practice address
560 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4844
(928) 774-3044
(928) 774-7107
Mailing address
560 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4844
(928) 774-3044
(928) 774-7107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07653166J
AZ
Other
Enumeration date
06/20/2008
Last updated
08/01/2008
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