Organization
UNTIED OF NORTHERN ARIZONA
Active
Other names
Untied of Northern Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY KLEIN MD (OWNER/ PRIMARY PHYSICIAN)
(928) 257-1224
Entity
Organization
Contact information
Practice address
1672 OAKLAWN DR, PRESCOTT, AZ 86305-1106
(928) 257-1224
(928) 264-5299
Mailing address
7025 E AUTUMN LN, PRESCOTT VALLEY, AZ 86315-4807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
04/03/2024
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