Mortensen, Bruce A
Mortensen, Bruce A is an individual health care provider with primary practice located at 2000 S Thompson St , Flagstaff AZ 86001-8759. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mortensen, Bruce A can be contacted via phone (928) 226-6400.Contact Information
Primary practice address
2000 S Thompson St
Flagstaff AZ 86001-8759
Phone: (928) 226-6400
Fax: (928) 226-6410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1013305283 |
|---|---|
| LBN Legal business name | Mortensen, Bruce A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2014 |
| Last updated | Oct 26th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Allen, Cameron C
1215 N Beaver St , Flagstaff AZ 86001-3120 -
Keller, Danielle Dominique
1330 N Rim Dr Ste A , Flagstaff AZ 86001-3138 -
Borgerding, Danielle Aline
107 E Oak Ave , Flagstaff AZ 86001-1818 -
Branstetter, Ted A.
1200 N Beaver St , Flagstaff AZ 86001-3118 -
Krankkala, Scott Lawrence
2000 S Thompson St , Flagstaff AZ 86001 -
Guerrette, Sarah Mae
2000 S Thompson St , Flagstaff AZ 86001-8759 -
Page, Jamie
1000 N Humphreys St Ste 104 , Flagstaff AZ 86001-3124 -
Ferguson, Gavin
1515 E Cedar Ave Ste 2B3B4E12 , Flagstaff AZ 86004-1600