Individual
DR. JOHN ERIK TVETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CLINIC RD, GRAND CANYON, AZ 86023
(928) 638-2551
(928) 638-2598
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
(928) 522-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36360
AZ
207P00000X
Emergency Medicine Physician
A74666
CA
207Q00000X
Family Medicine Physician
Primary
36360
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418849
—
AZ
Enumeration date
11/01/2006
Last updated
09/07/2021
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