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Contact Information

FLAGSTAFF SURGICAL ASSOCIATES PA
77 W FOREST AVE STE 201
FLAGSTAFF, AZ86001-1483
 Phone: 928-773-2222
 Fax: 928-773-2598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FLAGSTAFF SURGICAL ASSOCIATES PA

NPI # 1114995271
LBN Legal business name FLAGSTAFF SURGICAL ASSOCIATES PA
Authorized official DANIEL WILSON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2006
Last updated 10/24/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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