Medical Firefighter INC

NPI #1003155474 in Fort Defiance, Arizona

Provider Information

NPI Number: 1003155474
Entity Type: Organization
Organization Name: Medical Firefighter INC
Primary Specialty: Hospitalist
Enumeration Date: Feb 5, 2013
Last Updated: Nov 23, 2016

Practice Location

Address: CORNER OF N12 & N7
Address 2: FD 2371 RED ROCK CIRCLE
City: Fort Defiance
State: Arizona
ZIP Code: 86504
Phone: (509) 420-5125

Authorized Official

Name: GRACE HERCL, D.O.
Title: PHYSICIAN
Phone: (509) 420-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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