Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL CANYON ENT & FACIAL PLASTIC SURGERY PC
Active OrganizationCRYSTAL CANYON ENT & FACIAL PLASTIC SURGERY PC is a Facial Plastic Surgery organization located in FLAGSTAFF, Arizona. NPI 1285780767 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1285780767
- Provider Type
- Organization
- NPI Issued
- Jan 26, 2007 (19.558288556023 yrs)
- Last Updated
- Apr 4, 2013
- Licenses
-
MD3000 (AZ)MD3000 (AZ)
Practice Information
- Address
-
1340 N RIM DRFLAGSTAFF, AZ, 860013111Browse AZ providers · Browse ZIP 86001
- Phone
- 9287741873
- Fax
- 9287745525
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.