Doctor Name: | MICHELLE DOROZ |
NPI Number: | 1891825022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | DR-50509 |
Business Practice Address: | 1501 S Yale St Bldg 2 Suite 150 Flagstaff, AZ - 860017304 |
Business Phone Number: | 9285274325 |
Business Fax Number: | 9285274327 |
Mailing Address: | 3260 S Merryvale Ln, FLAGSTAFF |
State: | AZ |
Postal Code: | 860016567 |
Phone Number: | 9285274325 |
Fax Number: | 9285274327 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DR-50509 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |