person
Ms. Roberta Elaine Funck, PA-C
Medical Physician Assistant in Cottonwood, Arizona
NPI 1700086816

Roberta Elaine Funck is a Medical Physician Assistant based in Flagstaff, AZ and is specialized in Medical. Roberta Elaine Funck practices in Cottonwood, AZ and has the professional credentials of PA-C. The NPI Number for Roberta Elaine Funck is 1700086816 and holds a License No. 4341 (Arizona).

The current practice location address for Roberta Elaine Funck is 294 W State Route 89A, Cottonwood, AZ and can be reached out via phone at 928-649-7889. You can also correspond with Roberta Elaine Funck through the mailing address at 1200 N BEAVER ST, FLAGSTAFF, AZ - 86001-3118 (mailing address contact number: 928-213-6235).

Location: 294 W State Route 89A, Cottonwood, AZ, 86001-3118
person
Provider Profile Details
NPI Number
1700086816
Provider Name
Roberta Elaine Funck
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
294 W State Route 89A, Cottonwood, AZ, 86001-3118
Phone Number
928-649-7889
Fax Number
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
486799 05 AZ
institution
Provider Business Practice Location Address Details
Address
294 W State Route 89A
City
State
Zip
86326-3754
Phone Number
928-649-7889
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N Beaver St
City
State
Zip
86001-3118
Phone Number
928-213-6235
Fax Number
928-213-6292
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4341 (Arizona)
Definition
Definition to come...
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