Organization
NORTHERN ARIZONA ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY PAVICK (SR. OPERATIONS MANAGER)
(801) 857-7947
Entity
Organization
Contact information
Practice address
1521 N BEAVER ST, FLAGSTAFF, AZ 86001-1484
(928) 773-2530
(928) 773-2532
Mailing address
1521 N BEAVER ST, FLAGSTAFF, AZ 86001-1484
(928) 773-2530
(928) 773-2532
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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