Organization
AERO VISTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL S WINCHESTER RN (OWNER)
(928) 526-1112
Entity
Organization
Contact information
Practice address
611 N LEROUX ST STE 100, FLAGSTAFF, AZ 86001-3267
(928) 526-1112
(928) 714-9285
Mailing address
611 N LEROUX ST STE 100, FLAGSTAFF, AZ 86001-3267
(928) 526-1112
(928) 714-9285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37680
AZ
Other
Enumeration date
08/24/2009
Last updated
08/31/2009
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