Individual
JIVOMIR SIAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 774-7106
Mailing address
3278 SHONTO TRL, FLAGSTAFF, AZ 86005-3543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32095
AZ
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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