Individual
MRS. JANN'E M CROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 372-2105
(602) 372-2107
Mailing address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 372-2105
(602) 372-2107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2286
AZ
Other
Enumeration date
12/05/2005
Last updated
08/26/2011
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