Individual
DR. JOSHUA MICHAEL WALLENTIN-FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
Mailing address
504 W FIR AVE, FLAGSTAFF, AZ 86001-1309
(928) 853-9293
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
73668
AZ
207XX0801X
Orthopaedic Trauma Physician
31485
MS
207XX0801X
Orthopaedic Trauma Physician
68056
TN
Other
Enumeration date
04/27/2018
Last updated
09/24/2024
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