Organization
B ROBERT CRAGO PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRL ROBERT CRAGO PHD (CLINICAL PSYCHOLOGIST PRESIDENT)
(520) 323-0062
Entity
Organization
Contact information
Practice address
5363 E PIMA ST, STE 100, TUCSON, AZ 85712-3663
(520) 323-0062
(520) 323-1336
Mailing address
5363 E PIMA ST, STE 100, TUCSON, AZ 85712-3663
(520) 323-0062
(520) 323-1336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930653
AHCCCS
AZ
01
—
AZ0132730
BLUECROSS BLUESHIELD
AZ
Enumeration date
08/30/2006
Last updated
09/21/2007
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