Organization · Type 2 NPI

Northern Arizona Healthcare Corporation

Cardiovascular Disease Physician · Flagstaff, AZ

NPI number 1124712898 Active

Practice location

1895 N Jasper Dr Ste 1
Flagstaff, AZ 86001-1632

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Clinical Cardiac Electrophysiology Physician 207RC0001XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2 other providers at this address

Other cardiovascular disease physician providers in Flagstaff

See all in Flagstaff →

About NPI 1124712898

Northern Arizona Healthcare Corporation's National Provider Identifier is 1124712898, issued on Jun 6, 2023. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Flagstaff, AZ. The record was last updated on Apr 16, 2025.