Organization
NORTHERN ARIZONA RADIOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN V. WARD M.D. (PRESIDENT)
(928) 773-2515
Entity
Organization
Contact information
Practice address
77 W FOREST AVENUE, SUITE 101, FLAGSTAFF, AZ 86001-1482
(928) 773-2515
(928) 773-2240
Mailing address
DEPT 2018, PO BOX 29675, PHOENIX, AZ 85038-3340
(928) 773-2515
(928) 773-2240
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0048350
BLUE CROSS BLUE SHIELD
AZ
05
—
Z1339
—
UT
Enumeration date
05/23/2006
Last updated
11/23/2024
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