Individual
DR. DENNIS MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4524 N MARYVALE PKWY STE 140, PHOENIX, AZ 85031-1730
(623) 440-5424
Mailing address
4524 N MARYVALE PKWY STE 140, PHOENIX, AZ 85031-1730
(623) 440-5424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17027
AZ
207P00000X
Emergency Medicine Physician
23683
TN
207Q00000X
Family Medicine Physician
MD0000023683
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3056626
BLUE CROSS
TN
05
—
3083239
—
TN
01
—
930056369
RAILROAD MEDICARE
TN
Enumeration date
05/18/2006
Last updated
05/08/2025
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