| North Country Healthcare, Inc. | |
|
2920 N. 4th Street Flagstaff AZ 86004 | |
| (928) 522-9400 | |
| (928) 774-6687 |
| Full Name | North Country Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2920 N. 4th Street, Flagstaff, Arizona |
| Authorized Official Name and Position | Anne M Newland (CEO) |
| Authorized Official Contact | 9285229400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Healthcare, Inc. Po Box 3630 Flagstaff AZ 86003-3630 Ph: (928) 522-9400 | North Country Healthcare, Inc. 2920 N. 4th Street Flagstaff AZ 86004 Ph: (928) 522-9400 |
| NPI Number | 1073583472 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 8820981053 |
|---|---|
| Medicare Enrollment ID | O20040210001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073583472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Arizona) | Primary |
| Provider Name | Paul T Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780779991 PECOS PAC ID: 6800797424 Enrollment ID: I20040116000802 |
| Provider Name | Karen Voelcker Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831192913 PECOS PAC ID: 0244125524 Enrollment ID: I20040216001305 |
| Provider Name | Anthony Mannino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700849072 PECOS PAC ID: 7214823780 Enrollment ID: I20040305000301 |
| Provider Name | Ellen E Claxton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306839840 PECOS PAC ID: 6608764865 Enrollment ID: I20040309000498 |
| Provider Name | Richard R Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023051273 PECOS PAC ID: 6103819024 Enrollment ID: I20040406001545 |
| Provider Name | Jane E Dill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154413763 PECOS PAC ID: 7517950140 Enrollment ID: I20040407001292 |
| Provider Name | Thomas M Myers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053385153 PECOS PAC ID: 0749277424 Enrollment ID: I20040426001551 |
| Provider Name | Cynthia E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346290962 PECOS PAC ID: 1557352051 Enrollment ID: I20040525001392 |
| Provider Name | David Soll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083601199 PECOS PAC ID: 8628057114 Enrollment ID: I20040719000090 |
| Provider Name | Edward G Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619058880 PECOS PAC ID: 6608841911 Enrollment ID: I20040831000482 |
| Provider Name | Valerie A Wohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053393298 PECOS PAC ID: 1658340948 Enrollment ID: I20041004000149 |
| Provider Name | Sharon Falke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578591947 PECOS PAC ID: 8527024264 Enrollment ID: I20041206000117 |
| Provider Name | Daniel B Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932173127 PECOS PAC ID: 8820026396 Enrollment ID: I20050727000571 |
| Provider Name | Melissa H Maslar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144256884 PECOS PAC ID: 9638103898 Enrollment ID: I20050927000254 |
| Provider Name | Frederick C Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356307441 PECOS PAC ID: 4082632021 Enrollment ID: I20051108000405 |
| Provider Name | Alan W Motter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962470963 PECOS PAC ID: 8820016835 Enrollment ID: I20051108001036 |
| Provider Name | Nathan M Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093763377 PECOS PAC ID: 3375564834 Enrollment ID: I20051212000708 |
| Provider Name | Donna C Stubblefield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750829610 PECOS PAC ID: 4981619178 Enrollment ID: I20060208000838 |
| Provider Name | Jeffrey A Levison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405894 PECOS PAC ID: 4486660974 Enrollment ID: I20060221000420 |
| Provider Name | Kim Anne B Lockart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700867603 PECOS PAC ID: 2365454329 Enrollment ID: I20060613000126 |
| Provider Name | Cherrie A Andersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780672089 PECOS PAC ID: 3971515941 Enrollment ID: I20060613000152 |
| Provider Name | Linda L Nassif |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780672006 PECOS PAC ID: 5698787661 Enrollment ID: I20060613000158 |
| Provider Name | Richard K Neff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497725675 PECOS PAC ID: 7719877596 Enrollment ID: I20070109000313 |
| Provider Name | Barbara A Polstein |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316915069 PECOS PAC ID: 0840393161 Enrollment ID: I20070307000111 |
| Provider Name | Carol A Capozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528101151 PECOS PAC ID: 3779579339 Enrollment ID: I20070515000651 |
| Provider Name | Stephen Mccrosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295804888 PECOS PAC ID: 9234236175 Enrollment ID: I20070529000545 |
| Provider Name | Julie L Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992858310 PECOS PAC ID: 5092813907 Enrollment ID: I20070530000530 |
| Provider Name | Mary Ann Widman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245428929 PECOS PAC ID: 1557450624 Enrollment ID: I20071128000223 |
| Provider Name | John P Graziano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013087600 PECOS PAC ID: 3072694074 Enrollment ID: I20080204000252 |
| Provider Name | Kathleen S Florea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275527764 PECOS PAC ID: 4284601956 Enrollment ID: I20080206000422 |
| Provider Name | Jeffrey G Reres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346292950 PECOS PAC ID: 9032198379 Enrollment ID: I20080215000204 |
| Provider Name | Bidisha Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881878429 PECOS PAC ID: 2961589791 Enrollment ID: I20080404000018 |
| Provider Name | John E Tveten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588741615 PECOS PAC ID: 9638276884 Enrollment ID: I20080429000669 |
| Provider Name | Shipra Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578755781 PECOS PAC ID: 5597823229 Enrollment ID: I20081023000582 |
| Provider Name | Ann C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184840712 PECOS PAC ID: 6901969963 Enrollment ID: I20090116000476 |
| Provider Name | Jessica H Gaylord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861546384 PECOS PAC ID: 3072662261 Enrollment ID: I20090518000567 |
| Provider Name | Ethan J Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518198860 PECOS PAC ID: 4082768197 Enrollment ID: I20090824000314 |
| Provider Name | April C Alvarez Corona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699926048 PECOS PAC ID: 3678619376 Enrollment ID: I20091012000016 |
| Provider Name | Richard A Gibula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376637611 PECOS PAC ID: 6204888704 Enrollment ID: I20091120000312 |
| Provider Name | Sungnam Joe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376538389 PECOS PAC ID: 2062556376 Enrollment ID: I20100224000168 |
| Provider Name | Patricia J Cazel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184816456 PECOS PAC ID: 7517090004 Enrollment ID: I20100804000822 |
| Provider Name | Marvin Cabilangan Depas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306163258 PECOS PAC ID: 2860517182 Enrollment ID: I20100909001241 |
| Provider Name | Bhavani Naginani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669702155 PECOS PAC ID: 4587709571 Enrollment ID: I20100922000305 |
| Provider Name | Teresa D Bertsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639179369 PECOS PAC ID: 0446444517 Enrollment ID: I20101102001308 |
| Provider Name | Judith M Lassen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831407865 PECOS PAC ID: 7113112715 Enrollment ID: I20101109000736 |
| Provider Name | Teri Diane Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801972880 PECOS PAC ID: 5395922165 Enrollment ID: I20110602000705 |
| Provider Name | Charles H Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383950 PECOS PAC ID: 4789850728 Enrollment ID: I20111222000252 |
| Provider Name | Bridget Wicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194838284 PECOS PAC ID: 6002960531 Enrollment ID: I20120705000214 |
| Provider Name | Natalie M Andress |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427319961 PECOS PAC ID: 9739345760 Enrollment ID: I20120719000329 |
| Provider Name | Joselyn M Branchik Jedick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679736193 PECOS PAC ID: 4082860713 Enrollment ID: I20120810000523 |
| Provider Name | Tanya M Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700151271 PECOS PAC ID: 3870749211 Enrollment ID: I20120817000269 |
| Provider Name | Beverly E Tew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669661062 PECOS PAC ID: 2567611809 Enrollment ID: I20121002000694 |
| Provider Name | Julia B Eskuchen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174716526 PECOS PAC ID: 6103077656 Enrollment ID: I20121112000034 |
| Provider Name | Kathleen L Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891005633 PECOS PAC ID: 9638319205 Enrollment ID: I20130702000164 |
| Provider Name | Anne M Newland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336178912 PECOS PAC ID: 7113979519 Enrollment ID: I20130710000762 |
| Provider Name | Emily R Lieder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497070429 PECOS PAC ID: 7214177351 Enrollment ID: I20130712000372 |
| Provider Name | Briana T Wellington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740409200 PECOS PAC ID: 9032165204 Enrollment ID: I20130909000812 |
| Provider Name | Star J Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043648082 PECOS PAC ID: 1456588474 Enrollment ID: I20131219001807 |
| Provider Name | Nizar Fayez Olabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023004504 PECOS PAC ID: 3274529409 Enrollment ID: I20140123001998 |
| Provider Name | Cooper C Schraudenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790848299 PECOS PAC ID: 1456440064 Enrollment ID: I20140205000265 |
| Provider Name | Leila Kissick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831347699 PECOS PAC ID: 5294964284 Enrollment ID: I20140218000313 |
| Provider Name | Michael G Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891117214 PECOS PAC ID: 3678705662 Enrollment ID: I20140404001442 |
| Provider Name | Angela M Hansen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063839009 PECOS PAC ID: 4284867375 Enrollment ID: I20140424002079 |
| Provider Name | Sarah Coles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710271119 PECOS PAC ID: 1052537081 Enrollment ID: I20140728000612 |
| Provider Name | Lisa M Blasko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245646629 PECOS PAC ID: 9638390453 Enrollment ID: I20141021000523 |
| Provider Name | Jennifer A Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992113906 PECOS PAC ID: 1355563875 Enrollment ID: I20141117000089 |
| Provider Name | Ruth Goldberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578705257 PECOS PAC ID: 0547397879 Enrollment ID: I20150506001252 |
| Provider Name | Joyce L Garcia-gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710328810 PECOS PAC ID: 0345474086 Enrollment ID: I20150508000107 |
| Provider Name | Brandon Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528350139 PECOS PAC ID: 7315268091 Enrollment ID: I20150605002388 |
| Provider Name | Miran J Song |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366415846 PECOS PAC ID: 5991857096 Enrollment ID: I20150622002505 |
| Provider Name | Michael Wasowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922407063 PECOS PAC ID: 9931320264 Enrollment ID: I20150701002719 |
| Provider Name | Jesse M Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548520505 PECOS PAC ID: 3577708924 Enrollment ID: I20150812007088 |
| Provider Name | Glenn M Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386021400 PECOS PAC ID: 3577878842 Enrollment ID: I20150814014287 |
| Provider Name | Dustin Titcomb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275912784 PECOS PAC ID: 2860709615 Enrollment ID: I20150911000639 |
| Provider Name | Rebecca Pratiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262874 PECOS PAC ID: 6204143472 Enrollment ID: I20150921001719 |
| Provider Name | Sean P Lhuillier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326418526 PECOS PAC ID: 5597075192 Enrollment ID: I20151111001546 |
| Provider Name | Claire E Veltkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641135 PECOS PAC ID: 2567762750 Enrollment ID: I20151119000966 |
| Provider Name | Daniel Walden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881066819 PECOS PAC ID: 9931400603 Enrollment ID: I20151222001987 |
| Provider Name | Kathleen A Harner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184650061 PECOS PAC ID: 5597750281 Enrollment ID: I20160307000748 |
| Provider Name | Andrea Michelle Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629236146 PECOS PAC ID: 6800044223 Enrollment ID: I20160316000940 |
| Provider Name | Nicole Kelly-gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851752224 PECOS PAC ID: 2567769722 Enrollment ID: I20160401001907 |
| Provider Name | Brittny A Vollmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437503281 PECOS PAC ID: 9638461668 Enrollment ID: I20160712000546 |
| Provider Name | Katherine B Glaser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134385156 PECOS PAC ID: 6305001736 Enrollment ID: I20160721002390 |
| Provider Name | Bethany A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982048856 PECOS PAC ID: 2668615998 Enrollment ID: I20160728000941 |
| Provider Name | Pearish J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619998200 PECOS PAC ID: 6103899257 Enrollment ID: I20160803001222 |
| Provider Name | Lindsey L Kirkaldie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669775748 PECOS PAC ID: 0547458796 Enrollment ID: I20160808001385 |
| Provider Name | Sarah A Stoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093175440 PECOS PAC ID: 4688969017 Enrollment ID: I20160824003020 |
| Provider Name | Faegh V Aderangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942644760 PECOS PAC ID: 7214158666 Enrollment ID: I20161011002335 |
| Provider Name | Matthew D Belshe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821435579 PECOS PAC ID: 7315240116 Enrollment ID: I20161019002874 |
| Provider Name | Adrain Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906782 PECOS PAC ID: 2668751066 Enrollment ID: I20161107002167 |
| Provider Name | Julie Aikin Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972058527 PECOS PAC ID: 3476832403 Enrollment ID: I20161116000380 |
| Provider Name | Brian William Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497165732 PECOS PAC ID: 2668754722 Enrollment ID: I20170125000932 |
| Provider Name | Fanae F Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417315318 PECOS PAC ID: 2860791860 Enrollment ID: I20170130002471 |
| Provider Name | Glen Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528155082 PECOS PAC ID: 2163799966 Enrollment ID: I20170526001899 |
| Provider Name | Patricia Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033463807 PECOS PAC ID: 6507142718 Enrollment ID: I20170606001250 |
| Provider Name | Jeremy Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309350 PECOS PAC ID: 3274801006 Enrollment ID: I20170619002756 |
| Provider Name | Florencia Hernandez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871803825 PECOS PAC ID: 1850699844 Enrollment ID: I20170628001195 |
| Provider Name | Travis J Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538423520 PECOS PAC ID: 2860762325 Enrollment ID: I20170717002823 |
| Provider Name | Naquita Ahern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114447653 PECOS PAC ID: 7416227681 Enrollment ID: I20170720001158 |
| Provider Name | Gina Fnp Silveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407302300 PECOS PAC ID: 2264720655 Enrollment ID: I20170818002477 |
| Provider Name | Richard D Knecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598814261 PECOS PAC ID: 1951390269 Enrollment ID: I20170822002701 |
| Provider Name | Robert Hoadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007480 PECOS PAC ID: 5597037515 Enrollment ID: I20170824003364 |
| Provider Name | Norina Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538505235 PECOS PAC ID: 4587937958 Enrollment ID: I20170906003134 |
| Provider Name | Jeffrey Thomas Weber |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831563832 PECOS PAC ID: 1557635000 Enrollment ID: I20170921001638 |
| Provider Name | Diana S Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740036 PECOS PAC ID: 4587939897 Enrollment ID: I20171011003245 |
| Provider Name | Colleen Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790103711 PECOS PAC ID: 6507122892 Enrollment ID: I20171101002656 |
| Provider Name | Elizabeth G Roosma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043669302 PECOS PAC ID: 2466746714 Enrollment ID: I20171109001505 |
| Provider Name | Jennifer Whitehair |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134236607 PECOS PAC ID: 4082619838 Enrollment ID: I20171115003542 |
| Provider Name | Cora F Salvino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205881059 PECOS PAC ID: 8729034632 Enrollment ID: I20171130002649 |
| Provider Name | Christopher Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700309697 PECOS PAC ID: 2567720048 Enrollment ID: I20171212000772 |
| Provider Name | Theresa S Salvatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144682584 PECOS PAC ID: 1052607348 Enrollment ID: I20171212002423 |
| Provider Name | Colleen Mary Mcweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366957177 PECOS PAC ID: 4789942848 Enrollment ID: I20171218003272 |
| Provider Name | Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154860765 PECOS PAC ID: 3072898667 Enrollment ID: I20180319001318 |
| Provider Name | Rhonda Leett Teeple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349681 PECOS PAC ID: 7315220803 Enrollment ID: I20180403000197 |
| Provider Name | Edmund Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780197293 PECOS PAC ID: 2365705241 Enrollment ID: I20180416002587 |
| Provider Name | Sheilkeela S Howard-gurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023254471 PECOS PAC ID: 5193013050 Enrollment ID: I20180509001806 |
| Provider Name | Victoria D Noack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629528971 PECOS PAC ID: 2567718075 Enrollment ID: I20180712002692 |
| Provider Name | Esther R Ellsworth Bowers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881071793 PECOS PAC ID: 1759638836 Enrollment ID: I20180719004064 |
| Provider Name | John Wilbur Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811901911 PECOS PAC ID: 5991834863 Enrollment ID: I20180810001377 |
| Provider Name | Katie Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801290457 PECOS PAC ID: 3577813955 Enrollment ID: I20180905003057 |
| Provider Name | Megan Marie Rayman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356608152 PECOS PAC ID: 9931419660 Enrollment ID: I20180920003284 |
| Provider Name | Martha Mcguffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226269 PECOS PAC ID: 1355629783 Enrollment ID: I20180921002536 |
| Provider Name | Lore M Dickey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720597040 PECOS PAC ID: 3072825835 Enrollment ID: I20180927000776 |
| Provider Name | Monica Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093266470 PECOS PAC ID: 1759660988 Enrollment ID: I20181001002138 |
| Provider Name | Laura Ann Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821005968 PECOS PAC ID: 4789938796 Enrollment ID: I20181109002330 |
| Provider Name | Maria Cristina A De Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689602393 PECOS PAC ID: 8426365917 Enrollment ID: I20181214002036 |
| Provider Name | Krissie Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750856621 PECOS PAC ID: 5193060622 Enrollment ID: I20190102001964 |
| Provider Name | Shari R Pressley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750761680 PECOS PAC ID: 4789954967 Enrollment ID: I20190107002521 |
| Provider Name | Edward Shane Trantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043780349 PECOS PAC ID: 2860733573 Enrollment ID: I20190408000157 |
| Provider Name | Kristin E Salamon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083902936 PECOS PAC ID: 7911248216 Enrollment ID: I20190415002841 |
| Provider Name | Neal Patrick Patalinghug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588697544 PECOS PAC ID: 6507996766 Enrollment ID: I20190417002849 |
| Provider Name | Eric Black |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154364305 PECOS PAC ID: 2466471008 Enrollment ID: I20190506002704 |
| Provider Name | Shanna Mae Ramat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669902508 PECOS PAC ID: 0244573814 Enrollment ID: I20190627002824 |
| Provider Name | Randal Lloyd Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235581539 PECOS PAC ID: 9234467341 Enrollment ID: I20190828001206 |
| Provider Name | Colin Jude Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790343796 PECOS PAC ID: 5799013702 Enrollment ID: I20190828001635 |
| Provider Name | Sara Therese Shanah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341020 PECOS PAC ID: 4183955339 Enrollment ID: I20191018002464 |
| Provider Name | Emilie Gelpi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134771595 PECOS PAC ID: 5597097733 Enrollment ID: I20191021003580 |
| Provider Name | Virgil Bruce Wilcox |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811086341 PECOS PAC ID: 4385938091 Enrollment ID: I20191024002556 |
| Provider Name | Lee Taylor Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700101060 PECOS PAC ID: 1052554847 Enrollment ID: I20191224000580 |
| Provider Name | Cherish Lorica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609017870 PECOS PAC ID: 8628402377 Enrollment ID: I20200106000880 |
| Provider Name | Heber George Dutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710326731 PECOS PAC ID: 9638310352 Enrollment ID: I20200107000652 |
| Provider Name | Alberto Paderes Lorenzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265731624 PECOS PAC ID: 7315169463 Enrollment ID: I20200114000756 |
| Provider Name | Ashley Renae Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932747870 PECOS PAC ID: 2668807355 Enrollment ID: I20200128000903 |
| Provider Name | Evan R Pulvers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730561184 PECOS PAC ID: 3577807106 Enrollment ID: I20200407001641 |
| Provider Name | Casey Marie Deleonguerrero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275946030 PECOS PAC ID: 0143539742 Enrollment ID: I20200414000868 |
| Provider Name | Lindy A Vanlandingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578907929 PECOS PAC ID: 6507130069 Enrollment ID: I20200414003627 |
| Provider Name | Amanda Lynn Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447784848 PECOS PAC ID: 9133540362 Enrollment ID: I20200526002668 |
| Provider Name | Charles Jay Bawcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801419841 PECOS PAC ID: 3274957493 Enrollment ID: I20200721003567 |
| Provider Name | Sandra Bronni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548209950 PECOS PAC ID: 8224351168 Enrollment ID: I20200723003206 |
| Provider Name | Melody Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730701004 PECOS PAC ID: 0446675086 Enrollment ID: I20200730000762 |
| Provider Name | Stephanie Dunajski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467079822 PECOS PAC ID: 3476972159 Enrollment ID: I20200929003276 |
| Provider Name | Brett Zimmerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770576571 PECOS PAC ID: 3476537085 Enrollment ID: I20210118000095 |
| Provider Name | Jeffrey Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396352589 PECOS PAC ID: 4880008457 Enrollment ID: I20210122002154 |
| Provider Name | Everly Inzunza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780271106 PECOS PAC ID: 4587079173 Enrollment ID: I20210211002661 |
| Provider Name | Paula Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285294744 PECOS PAC ID: 2668801861 Enrollment ID: I20210304001260 |
| Provider Name | Trasi Crumrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073951661 PECOS PAC ID: 2961792684 Enrollment ID: I20210524002447 |
| Provider Name | Therese Mcmahan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760468078 PECOS PAC ID: 3476573056 Enrollment ID: I20210527002329 |
| Provider Name | Elif D Aksoylu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710324439 PECOS PAC ID: 3375845266 Enrollment ID: I20210628003371 |
| Provider Name | Ty Ellsworth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699124123 PECOS PAC ID: 8325449903 Enrollment ID: I20210702001838 |
| Provider Name | Kelsey O'brien Morgosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679079123 PECOS PAC ID: 6103252754 Enrollment ID: I20210706002737 |
| Provider Name | Dan Shtutman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598327025 PECOS PAC ID: 7315361052 Enrollment ID: I20210723002286 |
| Provider Name | Shawn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264974 PECOS PAC ID: 2567702285 Enrollment ID: I20210805002365 |
| Provider Name | Lauren E Clements |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063886331 PECOS PAC ID: 8527362466 Enrollment ID: I20210818000071 |
| Provider Name | Jaime Lynn Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750055687 PECOS PAC ID: 5799181533 Enrollment ID: I20210902002344 |
| Provider Name | Elizabeth Dawn Haws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275205254 PECOS PAC ID: 9234528449 Enrollment ID: I20211109003038 |
| Provider Name | Timothy S Paulson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790139749 PECOS PAC ID: 5294014296 Enrollment ID: I20211216001179 |
| Provider Name | Sarah Wheeler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407238611 PECOS PAC ID: 5799039327 Enrollment ID: I20220112002368 |
| Provider Name | Jennifer Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649518259 PECOS PAC ID: 2860718723 Enrollment ID: I20220302002524 |
| Provider Name | Meredith G Merkley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275950420 PECOS PAC ID: 2466753934 Enrollment ID: I20220316001355 |
| Provider Name | Sarah Smiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780071126 PECOS PAC ID: 8224410949 Enrollment ID: I20220727003869 |
| Provider Name | Hal Richins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720437601 PECOS PAC ID: 8022376474 Enrollment ID: I20220818001954 |
| Provider Name | Paul Pearson Panasiuk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063906493 PECOS PAC ID: 4587913157 Enrollment ID: I20220909002890 |
| Provider Name | Katrina Burleigh Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033643622 PECOS PAC ID: 0547645368 Enrollment ID: I20220915000474 |
| Provider Name | Ashley Overall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154825651 PECOS PAC ID: 2769739580 Enrollment ID: I20221020002717 |
| Provider Name | Dana Ger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780694802 PECOS PAC ID: 5597917781 Enrollment ID: I20221206001632 |
| Provider Name | Julia Forberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679985246 PECOS PAC ID: 7113243080 Enrollment ID: I20230130002130 |
| Provider Name | Alexander Q Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487281689 PECOS PAC ID: 5799100236 Enrollment ID: I20230404000834 |
| Provider Name | Emily H Nieto |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033527155 PECOS PAC ID: 0840560314 Enrollment ID: I20230512001809 |
| Provider Name | Tasha Harder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881202976 PECOS PAC ID: 9032536693 Enrollment ID: I20230613002112 |
| Provider Name | Madeline Wetterhahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982166195 PECOS PAC ID: 2062741804 Enrollment ID: I20230626002277 |
| Provider Name | Elizabeth Godar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861952780 PECOS PAC ID: 6406180405 Enrollment ID: I20230804000620 |
| Provider Name | Jared Parkinson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003109109 PECOS PAC ID: 1052536463 Enrollment ID: I20230808000852 |
| Provider Name | Erin E. Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161493 PECOS PAC ID: 0749636199 Enrollment ID: I20231024000820 |
| Provider Name | Debora Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366183212 PECOS PAC ID: 5597121715 Enrollment ID: I20231115001246 |
| Provider Name | Kimberly Ann Oszust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861130312 PECOS PAC ID: 3476921743 Enrollment ID: I20231129001680 |
| Provider Name | Tiffany Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124254123 PECOS PAC ID: 8921241308 Enrollment ID: I20231228001874 |
| Provider Name | Megan Skeet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558937219 PECOS PAC ID: 3779928254 Enrollment ID: I20240225000015 |
| Provider Name | Tanya Laureen Underwood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184815516 PECOS PAC ID: 1759722937 Enrollment ID: I20240520000570 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Ryan Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Oak Ave, Suite 202, Flagstaff, AZ 86001 Phone: 928-773-2560 Fax: 928-913-8835 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 |