Provider Demographics
NPI:1336912146
Name:DOTTI, FLORIAN DORJE
Entity Type:Individual
Prefix:
First Name:FLORIAN
Middle Name:DORJE
Last Name:DOTTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 E EAGLE CREST DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-7144
Mailing Address - Country:US
Mailing Address - Phone:505-690-8005
Mailing Address - Fax:
Practice Address - Street 1:121 E BIRCH AVE STE 101
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-4650
Practice Address - Country:US
Practice Address - Phone:928-225-5016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach