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Individual

DR. JON ANDREW RUMOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2599
Mailing address
77 W FOREST AVE, SUITE 108, FLAGSTAFF, AZ 86001-1479
(928) 773-2438
(928) 773-2599

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49436
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891842761
AFMC
AZ
05
950808
AZ
Enumeration date
01/04/2007
Last updated
10/12/2020
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