Organization · Type 2 NPI
Crystal Canyon Ent & Facial Plastic Surgery PC
Otolaryngology/Facial Plastic Surgery Physician · Flagstaff, AZ
NPI number
1285780767
Active
Practice location
1340 N Rim Dr
Flagstaff, AZ 86001-3111
Fax (928) 774-5525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD3000 (AZ) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | MD3000 (AZ) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Another provider at this address
About NPI 1285780767
Crystal Canyon Ent & Facial Plastic Surgery PC's National Provider Identifier is 1285780767, issued on Jan 26, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Flagstaff, AZ. The record was last updated on Apr 4, 2013.