Individual
JOHN J KRESL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D
Contact information
Practice address
4611 E. SHEA BLVD, STE. 120, PHOENIX, AZ 85028-4254
(602) 441-3845
(602) 464-9769
Mailing address
4611 E. SHEA BLVD, STE 120, PHOENIX, AZ 85028-4254
(602) 441-3845
(602) 464-9769
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25703
AZ
2085R0202X
Diagnostic Radiology Physician
25703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395071
AHCCCS
AZ
Enumeration date
02/27/2006
Last updated
04/21/2021
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