Provider Demographics
NPI:1013178060
Name:BELT, AMBER G (ND)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:G
Last Name:BELT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:323 N LEROUX ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3027
Mailing Address - Country:US
Mailing Address - Phone:928-213-5828
Mailing Address - Fax:928-213-8170
Practice Address - Street 1:323 N LEROUX ST
Practice Address - Street 2:SUITE B
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-8600
Practice Address - Country:US
Practice Address - Phone:928-213-5828
Practice Address - Fax:928-213-5701
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ05-856175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath