Organization
NORTHERN ARIZONA UNIVERSITY
Active
Other names
AZ Board of Regents on Behalf of Northern Arizona University
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MAGEE (BILLING AND COLLECTIONS SPECIALIST)
(928) 523-7776
Entity
Organization
Contact information
Practice address
912 RIORDAN RD BLDG 27 A, FLAGSTAFF, AZ 86011-0001
(928) 523-6773
(928) 523-4953
Mailing address
PO BOX 5630, FLAGSTAFF, AZ 86011-5630
(928) 523-6773
(928) 523-4953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725806
—
AZ
Enumeration date
11/09/2017
Last updated
05/18/2023
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