Individual
DR. IDA P CROCKER-SABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10051 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-5239
(480) 473-7003
Mailing address
10051 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-5239
(480) 473-7003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22798
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529935
—
AZ
Enumeration date
12/19/2006
Last updated
05/22/2023
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