Individual
DR. FRANK DANIEL KRESOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1413 W 16TH ST, THE CARDIOVASCULAR CENTER, PARKER, AZ 85344-6310
(928) 669-8161
(928) 669-8171
Mailing address
1413 W 16TH ST, THE CARDIOVASCULAR CENTER, PARKER, AZ 85344-6310
(928) 669-8161
(928) 669-8171
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26534
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110161929
RAILROAD MEDICARE
AZ
05
—
429698
—
AZ
01
—
WCSKQ
SUN HEALTH GRP #
AZ
Enumeration date
08/02/2005
Last updated
07/08/2009
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