Individual
DEREK CHRISTOPHER BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRCST,CFA
Contact information
Practice address
1840 N JASPER DR STE 2, FLAGSTAFF, AZ 86001-1634
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8741
(623) 544-5531
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
114919
AZ
Other
Enumeration date
06/06/2009
Last updated
01/14/2026
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