Organization
FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC
Active
Organization
FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MOSS AGACNP-BC (OWNER)
(208) 818-6181
Entity
Organization
Contact information
Practice address
9405 N BRYANT RD, FLAGSTAFF, AZ 86004-1247
(208) 818-6181
(928) 255-0096
Mailing address
9405 N BRYANT RD, FLAGSTAFF, AZ 86004-1247
(208) 818-6181
(928) 255-0096
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8631
AZ
Other
Enumeration date
04/27/2017
Last updated
06/10/2021
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