Healthcare Provider Details

I. General information

NPI: 1558449900
Provider Name (Legal Business Name): NORTHERN ARIZONA EAR NOSE AND THROAT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N RIM DR SUITE B
FLAGSTAFF AZ
86001-3128
US

IV. Provider business mailing address

1300 N RIM DR SUITE B
FLAGSTAFF AZ
86001-3128
US

V. Phone/Fax

Practice location:
  • Phone: 928-556-9200
  • Fax: 928-556-0336
Mailing address:
  • Phone: 928-556-9200
  • Fax: 928-556-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL HOEHLE DOWNS
Title or Position: PRESIDENT
Credential: MD
Phone: 928-556-9200