Organization
DOC MARTINS INC A C C
Active
Other names
Optum Primary Care, Flagstaff Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (REGIONAL MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
1501 S YALE ST STE 150, FLAGSTAFF, AZ 86001-7337
(928) 527-4325
(928) 527-4327
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 954-7761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32052
AZ
207R00000X
Internal Medicine Physician
32051
AZ
Other
Enumeration date
05/10/2006
Last updated
07/25/2024
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