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Individual

DR. CHRISTINE MARIE KNEISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-2920
(928) 214-2925
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41801
AZ
208M00000X
Hospitalist Physician
41801
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
437422
AZ
Enumeration date
02/11/2008
Last updated
04/21/2021
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