Individual
DR. BRADFORD CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 E CEDAR AVE, SUITE A-3, FLAGSTAFF, AZ 86004-1630
(928) 774-2788
(928) 774-0123
Mailing address
1515 E CEDAR AVE, STE A-3, FLAGSTAFF, AZ 86004-1630
(928) 774-2788
(928) 774-0123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202101
—
AZ
01
—
AZ0067990
BCBS
AZ
Enumeration date
11/15/2006
Last updated
01/09/2012
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