Individual
MARY ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
77 W FOREST AVE, FLAGSTAFF, AZ 86001
(928) 214-3600
Mailing address
77 W FOREST AVE, FLAGSTAFF, AZ 86001-1479
(928) 214-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56992
AZ
Other
Enumeration date
03/30/2015
Last updated
01/04/2023
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