Individual
JAMIE LEE RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-3930
Mailing address
PO BOX 67, FLAGSTAFF, AZ 86002-0067
(928) 214-3930
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63189
AZ
Other
Enumeration date
06/05/2018
Last updated
10/09/2024
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