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
121 VISION PARK BLVD STE 240, SHENANDOAH, TX 77384-3026
(936) 271-1900
Mailing address
1405 W AUTO DR FL 2, TEMPE, AZ 85284-1016
(480) 505-1840
(480) 705-0960
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
07/31/2024
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