Organization
MICHAEL J. FLORES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISSY LEWIS (BILLING MANGER)
(928) 774-3318
Entity
Organization
Contact information
Practice address
1100 N SAN FRANCISCO ST, SUITE E, FLAGSTAFF, AZ 86001-3260
(928) 774-3318
(928) 774-3847
Mailing address
1100 N SAN FRANCISCO ST, SUITE E, FLAGSTAFF, AZ 86001-3260
(928) 774-3318
(928) 774-3847
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
15978
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281462
—
AZ
01
—
DG5546
RAILROAD MEDICARE GROUP
AZ
Enumeration date
12/13/2006
Last updated
10/10/2012
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