DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEASIDE SANCTUARY CLINIC LLC

Active Organization

SEASIDE SANCTUARY CLINIC LLC is a Specialist organization located in FLAGSTAFF, Arizona. NPI 1285784082 is currently active in the NPPES registry. Verify at CMS.

Specialist · FLAGSTAFF, AZ

Registration Details

NPI Number
1285784082
Provider Type
Organization
NPI Issued
Jan 12, 2007 (19.590524750616 yrs)
Last Updated
Aug 22, 2020
License
K6250 (TX)

Practice Information

Address
2401 W ROUTE 66
#24
FLAGSTAFF, AZ, 860018761
Browse AZ providers · Browse ZIP 86001
Phone
3614631353
Fax
2152610666
Primary Specialty
Specialist
174400000X
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.