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Organization

MUNDERLOH MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRAVIS STIEGLER D.O. (MEDICAL DIRECTOR)
(928) 556-0707
Entity
Organization

Contact information

Practice address
1501 S YALE ST, 250, FLAGSTAFF, AZ 86001-7304
(928) 556-0707
(928) 779-2223
Mailing address
1501 S YALE ST, 250, FLAGSTAFF, AZ 86001-7304
(928) 556-0707
(928) 779-2223

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
5935
AZ
208D00000X
General Practice Physician
Primary
005517
AZ

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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