Organization
INTERNAL MEDICINE SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M CRISTINA DE SOUZA MD (OWNER)
(928) 266-0118
Entity
Organization
Contact information
Practice address
1851 N GEMINI DR, FLAGSTAFF, AZ 86001-1607
(928) 266-0118
Mailing address
1851 N GEMINI DR, FLAGSTAFF, AZ 86001-1607
(928) 266-0118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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