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Individual

DR. THOMAS J KROLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2421 E SOUTHERN AVE STE 7, TEMPE, AZ 85282-7612
(480) 425-2160
(480) 351-8797
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2160
(480) 351-8797

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36080234
IL
207L00000X
Anesthesiology Physician
Primary
50776
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C30741
RR MEDICARE
IL
Enumeration date
05/09/2006
Last updated
12/12/2022
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