institution
Seaside Sanctuary Clinic Llc
Specialist in Flagstaff, Arizona
NPI 1285784082

Seaside Sanctuary Clinic Llc is a Specialist based in Flagstaff, AZ. Seaside Sanctuary Clinic Llc practices in Flagstaff, AZ. The NPI Number for Seaside Sanctuary Clinic Llc is 1285784082 and holds a License No. K6250 (Arizona).

The current practice location address for Seaside Sanctuary Clinic Llc is 2401 W Route 66, Flagstaff, AZ and can be reached out via phone at 361-463-1353 and via fax at 215-261-0666.

Location: 2401 W Route 66, Flagstaff, AZ, 86001-8761
institution
Provider Profile Details
NPI Number
1285784082
Provider Name
Seaside Sanctuary Clinic Llc
Credential
Provider Entity Type
Organization
Address
2401 W Route 66, Flagstaff, AZ, 86001-8761
Phone Number
361-463-1353
Fax Number
215-261-0666
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0033LT 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
2401 W Route 66
City
State
Zip
86001-8761
Phone Number
361-463-1353
Fax Number
215-261-0666
person
Provider Business Mailing Address Details
Address
2401 W Route 66
City
State
Zip
86001-8761
Phone Number
361-463-1353
Fax Number
215-261-0666
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
K6250 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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