Provider Demographics
NPI:1336179415
Name:ARGANOZA-PRIESS, MARIA (DO)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ARGANOZA-PRIESS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARIA-TERESA
Other - Middle Name:U
Other - Last Name:ARGANOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2920 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-1816
Mailing Address - Country:US
Mailing Address - Phone:928-522-9838
Mailing Address - Fax:928-522-9839
Practice Address - Street 1:300 S 6TH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMS
Practice Address - State:AZ
Practice Address - Zip Code:86046-0110
Practice Address - Country:US
Practice Address - Phone:928-635-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO1500207Q00000X
WAOP61658955207Q00000X
AZ011541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
381908328-418OtherCARE SOURCE OF MI
381908328OtherCOFINITY/PPOM
381908328OtherPRIORITY HEALTH
01012775OtherHEALTHPLUS OF MI
080G310660OtherBLUE CARE NETWORK OF MI, BCN ADVANTAGE, POS, BPP
080G310660OtherBCBS OF MI INCLUDES TRADITIONAL, TRUST PPO, BPP, COMMUNITY BLUE AND MICHILD
MI1336179415Medicaid
171902OtherGREAT LAKES HEALTH PLAN
381908328OtherAETNA
MI080G31066OtherBCBSM
381908328OtherHCAP
01012775OtherHEALTHPLUS OF MI
080G310660OtherBCBS OF MI INCLUDES TRADITIONAL, TRUST PPO, BPP, COMMUNITY BLUE AND MICHILD
171902OtherGREAT LAKES HEALTH PLAN
MI1336179415Medicaid