| Dr Michelle Starr Grua, MD | |
| 
					1200 N Beaver St, Flagstaff, AZ 86001-3118  | |
| (928) 779-3366 | |
| Not Available | 
| Full Name | Dr Michelle Starr Grua | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology | 
| Location | 1200 N Beaver St, Flagstaff, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205845815 | NPI | - | NPPES | 
| 474263 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 27477 (Arizona) | Primary | 
| Entity Name | Northern Arizona Healthcare Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michelle Starr Grua, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235  | Dr Michelle Starr Grua, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366  | 
Dr. Jeremy Nielsen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366  | |
Dr. Judith Amanda Kelley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St, Ste 100, Flagstaff, AZ 86001 Phone: 928-214-2156  | |
Dr. Kevin Neal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-639-6150  | |
Kyle Richardson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366  | |
Dr. Douglas Dean Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504  | |
Dr. James H Gibson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1020 N San Francisco St, Ste 1000, Flagstaff, AZ 86001 Phone: 928-526-1112 Fax: 928-714-9285  | |
Dr. Gary Steven Christensen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504  |