Organization · Type 2 NPI

Northern Arizona Healthcare Corporation

Internal Medicine Physician · Flagstaff, AZ

NPI number 1962313304 Active

Practice location

1485 N Turquoise Dr Ste 200
Flagstaff, AZ 86001-2000

Mailing address

1200 N Beaver St, Attn: Managed Care Contracting
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Orthopaedic Hand Surgery Physician 207XS0106XNone listed
Orthopaedic Surgery of the Spine Physician 207XS0117XNone listed
Orthopaedic Foot and Ankle Surgery Physician 207XX0004XNone listed
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XNone listed
Orthopaedic Trauma Physician 207XX0801XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner 363L00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

7 other providers at this address

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About NPI 1962313304

Northern Arizona Healthcare Corporation's National Provider Identifier is 1962313304, issued on Sep 15, 2026. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Sep 15, 2026.