# WHITE CRANES MEDICAL CENTER INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Cranes Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437575545
- **Authorized official:** JELINA M IP (ADMINISTRATOR)
- **Authorized official phone:** (480) 704-4540

## Contact information

- **Practice address:** 2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
- **Practice address phone:** (480) 704-4540
- **Mailing address:** 2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
- **Mailing address phone:** (480) 704-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | 03-745 | AZ | — |
| 207K00000X | Allergy & Immunology Physician | 0995 | AZ | Yes |
| 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