Organization
CRANIAL TECHNOLOGIES, INC.
Active
Parent organization
CRANIAL TECHNOLOGIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRANIAL TECHNOLOGIES, INC.
Authorized official
OUMOU K BAH (COMPLIANCE & MEDICAID SPECIALIST)
(602) 393-8188
Entity
Organization
Contact information
Practice address
3400 E COLISEUM BLVD STE 310, FORT WAYNE, IN 46805-1643
(844) 447-5894
Mailing address
1405 W AUTO DR FL 2, TEMPE, AZ 85284-1227
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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