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Organization
WHITE CRANES MEDICAL CENTER INCORPORATED
Active
Organization
WHITE CRANES MEDICAL CENTER INCORPORATED
Active
Other names
White Cranes Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JELINA M IP (ADMINISTRATOR)
(480) 704-4540
Entity
Organization
Contact information
Practice address
2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
(480) 704-4540
Mailing address
2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
(480) 704-4540
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
03-745
AZ
207K00000X
Allergy & Immunology Physician
Primary
0995
AZ
207Q00000X
Family Medicine Physician
0995
AZ
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
208D00000X
General Practice Physician
—
AZ
208VP0000X
Pain Medicine Physician
0995
AZ
Other
Enumeration date
03/13/2014
Last updated
08/21/2014
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