Individual
SCOTT LAWRENCE KRANKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001
(928) 226-6400
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6762
AZ
Other
Enumeration date
06/29/2017
Last updated
05/18/2020
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