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Organization

EVOLVE FLAGSTAFF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN KINSLOW PT, DPT (OWNER, PHYSICAL THERAPIST)
(928) 326-0316
Entity
Organization

Contact information

Practice address
123 W BIRCH AVE STE 100, FLAGSTAFF, AZ 86001-4508
(928) 793-6237
(928) 366-5976
Mailing address
123 W BIRCH AVE STE 100, FLAGSTAFF, AZ 86001-4508
(928) 793-6237
(928) 366-5976

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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