Individual
ARIANNE C HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2599
Mailing address
PO BOX 31210, FLAGSTAFF, AZ 86003-1210
(928) 773-2222
(928) 773-2599
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881143386
UHC
AZ
05
—
607904
—
AZ
01
—
Z235849
MEDICARE
AZ
Enumeration date
09/25/2016
Last updated
10/12/2020
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