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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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