Flagstaff Neurosurgery Pllc

LBN: Flagstaff Neurosurgery Pllc
Flagstaff Neurosurgery Pllc is an health care organization with primary practice located at 823 N San Francisco St Suite F, Flagstaff AZ 86001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Flagstaff Neurosurgery Pllc can be contacted via phone (928) 226-7667, or through Nicol, Bradley Robert via phone (928) 226-7667.

Contact Information

Primary practice address
823 N San Francisco St Suite F Flagstaff AZ 86001
Phone: (928) 226-7667
Fax: (928) 226-7664
Website:
Map and Directions
Authorized official contact:
Name: Nicol, Bradley Robert Doctor of Medicine (MD)
Phone: (928) 226-7667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 30127 Arizona

Profile Details

NPI number 1073850582
LBN Legal business name Flagstaff Neurosurgery Pllc
DBA Doing business as
Authorized official Nicol, Bradley Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2013
Last updated Jun 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073850582 NPPES
Arizona MEDICAID 701690

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