Organization
WHITE MOUNTAIN INTERNAL MEDICINE, PC
Active
Organization
WHITE MOUNTAIN INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD K. COOLEY (BUSINESS MANAGER)
(928) 774-3135
Entity
Organization
Contact information
Practice address
77 W FOREST AVE, SUITE 212, FLAGSTAFF, AZ 86001-1479
(928) 774-3135
(928) 774-3134
Mailing address
77 W FOREST AVE, SUITE 212, FLAGSTAFF, AZ 86001-1479
(928) 774-3135
(928) 774-3134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2006
Last updated
08/22/2020
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