Individual
MIA CHRISTINE HAZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6415
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
281467
MA
2084P0800X
Psychiatry Physician
Primary
66626
AZ
Other
Enumeration date
03/29/2016
Last updated
08/22/2022
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