Individual
IAN CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
222 W THOMAS RD, SUITE 304, PHOENIX, AZ 85013-4419
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36579
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167638
—
AZ
Enumeration date
05/01/2012
Last updated
11/02/2016
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