Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Porvaznik Family Medicine PLLC

Organization Family Medicine Physician · NPI 1366278913

Porvaznik Family Medicine PLLC provides Family Medicine Physician services in Flagstaff, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5200 E Cortland Blvd Ste D3
Flagstaff, AZ 86004-9340
Phone: (928) 440-5929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366278913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Porvaznik — Owner · (301) 801-2577
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address5200 E Cortland Blvd Ste D3, Flagstaff, AZ 86004-9340

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