Individual
DR. ADAM M. KRUCZAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2815 S ALMA SCHOOL RD, #119B, MESA, AZ 85210-4031
(480) 664-7490
(480) 664-7512
Mailing address
2487 S GILBERT RD #106-606, GILBERT, AZ 85295-8899
(480) 664-7490
(480) 664-7512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0676
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003387L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394459
—
AZ
01
—
DP9577
MEDICARE RR
AZ
Enumeration date
06/23/2006
Last updated
10/04/2011
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