Individual
MRS. MARGARET D DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 S BEAVER ST, FLAGSTAFF, AZ 86001-5600
(928) 773-4050
Mailing address
4132 E WOODRIDGE LN, FLAGSTAFF, AZ 86004-7900
(928) 526-1964
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN088339
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550732
AHCCCS
AZ
Enumeration date
03/13/2007
Last updated
07/08/2007
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