Organization
WOMEN CLINIC OF NORTHERN ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN O SHIELS MD (PHYSICIAN)
(928) 779-0341
Entity
Organization
Contact information
Practice address
1024 N SAN FRANCISCO ST STE 105, FLAGSTAFF, AZ 86001-3266
(928) 779-0341
(928) 774-4994
Mailing address
1024 N SAN FRANCISCO ST STE 105, FLAGSTAFF, AZ 86001-3266
(928) 779-0341
(928) 774-4994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22985
AZ
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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