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Individual

MR. MARK DAVID FRANCOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 213-6100
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 213-6100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2090088982
IL

Other

Enumeration date
08/18/2011
Last updated
10/22/2013
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