Seaside Sanctuary Clinic LLC

NPI #1285784082 in Flagstaff, Arizona

Provider Information

NPI Number: 1285784082
Entity Type: Organization
Organization Name: Seaside Sanctuary Clinic LLC
Primary Specialty: Specialist
Enumeration Date: Jan 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2401 W ROUTE 66
Address 2: #24
City: Flagstaff
State: Arizona
ZIP Code: 86001-8761
Phone: (361) 463-1353

Authorized Official

Name: MISS MARY C MEADOWS, N.D.
Title: DIRECTOR
Phone: (361) 463-1353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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