Organization
DHHS IHS PHOENIX AREA
Active
Other names
NATIVE AMERICAN CARDIOLOGY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY VAN DYK MD (ACTING DIRECTOR)
(928) 214-3920
Entity
Organization
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 214-3920
(928) 214-3924
Mailing address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001
(928) 214-3920
(928) 214-3924
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
07/21/2022
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