Individual
ANDREW D ATIEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6400
(928) 226-6410
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36914
AZ
207RI0011X
Interventional Cardiology Physician
Primary
36914
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218820
—
AZ
Enumeration date
06/15/2006
Last updated
02/18/2021
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