CRYSTAL CANYON ENT & FACIAL PLASTIC SURGERY PC
Medical Practice at Rim Dr, Flagstaff, AZ

License number
Arizona MD3000
Category
Osteopathic Medicine
Type
Allergy & Immunology
License number
Arizona MD3000
Category
Medical Practice
Type
Otolaryngology/Facial Plastic Surgery
Owner
Name: MRS. PAMELA A TAYLOR
Title: OFFICE MANAGER
Phone: (928) 774-1873
Address
Address
1340 N Rim Dr, Flagstaff, AZ 86001
National Provider ID: 1285780767
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CRYSTAL CANYON ENT & FACIAL PLASTIC SURGERY, PC

1340 N Rim Dr, Flagstaff, AZ 86001

Industry:
Offices of Physicians, Except Mental Health
Doing business as:
Crystal Canyon Ent & Facial Plastic Surgery<br>Crystal Canyon Ent & Facial
Registration:
Jun 14, 1995
Site:
ccentfps.com
Phone:
(928) 774-1873 (Phone)
Managers:
Tamarah A Fratianni (President/ceo), 8585 W.wing Mt Dr, Flagstaff, AZ 86001 (Physical),Tamarah Fratianni (Director, Principal, Otolaryngologist Plastic Sgn, Osteopathy), Director 8585 W.wing Mtn Dr, Flagstaff, AZ 86001 (Physical),Julia L. Melvin (Nurse Practitioner),...
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Company size:
3

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