Organization · Type 2 NPI

Northern Arizona Healthcare Corporation

Cardiovascular Disease Physician · Flagstaff, AZ

NPI number 1679266290 Active

Practice location

2000 S Thompson St
Flagstaff, AZ 86001-8759

Call (928) 226-6400 Map

Fax (928) 226-6411

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
Interventional Cardiology Physician 207RI0011XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Physical Therapist 225100000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Acute Care Nurse Practitioner 363LA2100XNone listed
Family Nurse Practitioner 363LF0000XNone 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.

40 other providers at this address

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About NPI 1679266290

Northern Arizona Healthcare Corporation's National Provider Identifier is 1679266290, issued on May 30, 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.