Individual
NEERAJ VIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-5588
(928) 639-5589
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29678
AZ
208M00000X
Hospitalist Physician
Primary
29678
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642555
—
AZ
Enumeration date
09/21/2005
Last updated
09/02/2022
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