Mary C Porvaznik
Medical Specialty
Professional ID
- NPI: 1871582635
- PECOS ID: 9335310242
- Enrollment ID: I20160901001417
- Credential(MD, DO, DPM):
- Medical School: Uniformed Services University Of The Health Sciences
- Medical School Graduation Year: 1992
Hospital Service
- Hospital CCN1: 030023
- Business Name (LBN)1: Flagstaff Medical Center
- Hospital CCN2: 030007
- Business Name (LBN)2: Verde Valley Medical Center
- Hospital CCN3: 320059
- Business Name (LBN)3: Northern Navajo Medical Center
Medical Practices
- Organization Name: Northern Arizona Healthcare Provider Group Llc
- Group Practice ID assigned by PECOS: 6901055417
- Number of Group Practice member: 193
Location
- Address1: 107 E Oak Ave
- Address2:
- City: Flagstaff
- State: Arizona
- Zip Code: 86001
- Phone Number: (928)214-2621
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):