Individual
IRIS MACZURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E OAK AVE, SUITE 201, FLAGSTAFF, AZ 86001-1818
(928) 913-8800
(928) 913-8801
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8432
AZ
Other
Enumeration date
01/28/2016
Last updated
05/09/2016
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