Organization
EAST FLAGSTAFF FAMILY MEDICINE LLC
Active
Other names
East Flagstaff Family Medicine LTD
Organization subpart
No
Provider details
NPI number
Authorized official
SARA REEVES NP (OWNER)
(928) 774-2788
Entity
Organization
Contact information
Practice address
1515 E CEDAR AVE STE A-3, FLAGSTAFF, AZ 86004-1630
(928) 774-2788
(928) 774-0123
Mailing address
1515 E CEDAR AVE STE A-3, FLAGSTAFF, AZ 86004-1630
(928) 774-2788
(928) 774-0123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202101001
—
AZ
Enumeration date
05/10/2006
Last updated
11/22/2023
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