Individual
MR. JOHN MCCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
16601 N.12TH ST, APT 2101, PHOENIX, AZ 85022
(602) 509-0016
Mailing address
16601 N.12TH ST, APT 2101, PHOENIX, AZ 85022
(602) 509-0016
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AZ7175
AZ
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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