Organization
FLAGSTAFF SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE WILSON (MANAGER)
(928) 773-2572
Entity
Organization
Contact information
Practice address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2598
Mailing address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2598
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
03/14/2006
Last updated
10/24/2025
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