FLAGSTAFF NEUROSURGERY PLLC
Medical Practice at Rim Dr, Flagstaff, AZ

License number
Arizona 30127
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: DR. BRADLEY R NICOL M.D.
Title: OWNER
Phone: (928) 779-5226
Address
Address
1300 N Rim Dr SUITE A, Flagstaff, AZ 86001
National Provider ID: 1073850582
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FLAGSTAFF NEUROSURGERY, PLLC

1300 Rim Dr STE A, Flagstaff, AZ 86001

Registration:
Nov 16, 2012
State ID:
P-1804364-8
Expiration:
PERPETUAL
Members:
Northern Arizona Spine & (Member), 150 N Verde St #101, Flagstaff, AZ 86001 (Physical),Dj Sacco Md Pllc (Member), 150 N Verde St #101, Flagstaff, AZ 86001 (Physical)
Agent:
Bradley R Nicol,1300 Rim Dr STE A, Flagstaff, AZ 86001 (Physical)

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