Individual
BRANDON BRYON CRACRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 S COLUMBUS BLVD, TUCSON, AZ 85711-4751
(609) 969-2113
Mailing address
461 S COLUMBUS BLVD, TUCSON, AZ 85711-4751
(609) 969-2113
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5265491
AZ
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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