Individual
DR. GARY ANTHONY MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14275 N 87TH ST, SUITE 110, SCOTTSDALE, AZ 85260-3696
(480) 905-8485
(480) 905-7274
Mailing address
14275 N 87TH ST, SUITE 110, SCOTTSDALE, AZ 85260-3696
(480) 905-8485
(480) 905-7274
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
27315
AZ
207N00000X
Dermatology Physician
Primary
36909
AZ
207R00000X
Internal Medicine Physician
27315
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7431010
AETNA
AZ
Enumeration date
11/07/2006
Last updated
11/07/2019
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