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Individual

EDWARD R FLAMAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1175 W WICKENBURG WAY STE 3, WICKENBURG, AZ 85390-2262
(928) 668-0108
(928) 668-0110
Mailing address
1175 W WICKENBURG WAY STE 3, WICKENBURG, AZ 85390-2262
(928) 668-0108
(928) 668-0110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9487
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104774
AZ
01
P01623030
RAILROAD MEDICARE
AZ
01
Z1186507
MEDICARE
AZ
Enumeration date
03/27/2012
Last updated
08/06/2022
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