Individual
ANDREW FREDERICK DUCRUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3964
(602) 406-7131
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3964
(602) 406-7131
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
44138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783617
—
AZ
Enumeration date
06/03/2008
Last updated
01/06/2021
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