HomeNPI Verification

NPI Verification

National Provider Identifier: 1679709273

Michael Mortensen, DO

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

1200 N BEAVER ST

PAYER CREDENTIALING

FLAGSTAFF, AZ 860013118

Phone: 928-773-2559

NPI Enumeration Date

June 9, 2009

NPI Number

1679709273

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry