Organization
NORTHERN ARIZONA DERMATOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ACKERMAN KNUTSON MD (CEO)
(928) 774-5074
Entity
Organization
Contact information
Practice address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001
(928) 774-5074
(928) 779-0884
Mailing address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001
(928) 774-5074
(928) 779-0884
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
07/21/2011
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