OrganizationActive
Crystal Canyon Ent & Facial Plastic Surgery PC
NPI 1285780767 · Otolaryngology/Facial Plastic Surgery Physician · Flagstaff, AZ
Provider details
- NPI number
- 1285780767
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Taylor, Office Manager(928) 774-1873
- License
- MD3000 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1340 N Rim Dr
Flagstaff, AZ 86001-3111
Phone: (928) 774-1873
Fax: (928) 774-5525
Approximate (ZIP-level) locationGet directions
Mailing address
1340 N Rim Dr
Flagstaff, AZ 86001-3111
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2013-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.