MR. Bruce A Mortensen, PA

NPI #1013305283 in Flagstaff, Arizona

Provider Information

NPI Number: 1013305283
Entity Type: Individual
Name: MR. Bruce A Mortensen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 22, 2014
Last Updated: Oct 26, 2020

Practice Location

Address: 2000 S THOMPSON ST
City: Flagstaff
State: Arizona
ZIP Code: 86001-8759
Phone: (928) 226-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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