Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY DESJARDINS, MS, CCP
ActiveMR. ANTHONY DESJARDINS, MS, CCP is a Orthotic Fitter healthcare provider located in FLAGSTAFF, Arizona. NPI 1801135553 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1801135553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2013 (13.565242348534 yrs)
- Last Updated
- Jan 31, 2013
- License
-
PL082 (MA)
Practice Information
- Address
-
1200 N BEAVER STFLAGSTAFF, AZ, 860013118Browse AZ providers · Browse ZIP 86001
- Phone
- 9287732412
- Fax
- 9282142757
- Primary Specialty
-
Orthotic Fitter
242T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.