The Fort Defiance Indian Hospital Board, Incorporation
NPI #1083937569 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1083937569
- Entity Type
- Organization
- Organization Name
- The Fort Defiance Indian Hospital Board, Incorporation
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Mar 11, 2010
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- CORNER OF ROUTE N12 & N7
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 729-8000
Authorized Official
- Name
- DR. SANDRA L.S. ADKINS, DDS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (928) 729-8902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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