Individual
MICHELLE DOROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 S YALE ST, BLDG 2 SUITE 150, FLAGSTAFF, AZ 86001-7304
(928) 527-4325
(928) 527-4327
Mailing address
3260 S MERRYVALE LN, FLAGSTAFF, AZ 86001-6567
(928) 527-4325
(928) 527-4327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4045
AZ
208D00000X
General Practice Physician
DR-50509
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902162753
BCBS
CO
05
—
46408371
—
CO
05
—
881038
—
AZ
Enumeration date
03/06/2007
Last updated
02/25/2013
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