Organization
NORTHERN ARIZONA SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA A DIEFENBACH NP (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
4209 W INDIGO WAY, FLAGSTAFF, AZ 86001-8228
(760) 731-0313
(951) 587-8277
Mailing address
4209 W INDIGO WAY, FLAGSTAFF, AZ 86001-8228
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
04/16/2025
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