Individual provider · Type 1 NPI

Elysia Small, PA

Medical Physician Assistant · Flagstaff, AZ

NPI number 1174074991 Active

Practice location

1501 S Yale St, Building 2 Suite 150
Flagstaff, AZ 86001-7304

Call (928) 527-4325 Map

Fax (928) 527-4327

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X6563 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1174074991

Elysia Small, PA's National Provider Identifier is 1174074991, issued on Oct 17, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 25, 2024.