Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 007705 | AZ |
Y | 207Q00000X | Family Doctor | 007705 | AZ |
NPI | 1487040440 |
---|---|
Provider Name | Dr. Rowin Sean Begay |
First Address | Fort Defiance, AZ 86504-0649 |
Second Address | Fort Defiance, AZ 86504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2015 |
Last Update Date | 17/10/2019 |