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Individual

BEN J CRANFILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
294 W STATE ROUTE 89A, SUITE 208, COTTONWOOD, AZ 86326-3754
(928) 649-7970
(928) 649-7972
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49822
AZ
208800000X
Urology Physician
R-3811
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024674
AZ
05
114512001
AR
01
340017576
RAILROAD MEDICARE
AR
Enumeration date
02/02/2006
Last updated
12/18/2015
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