Individual
GLEN J. MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7400 E OSBORN RD, EMERGENCY DEPARTMENT, SCOTTSDALE, AZ 85251-6432
(480) 882-6359
(480) 882-4389
Mailing address
PO BOX 2710, SCOTTSDALE, AZ 85252-2710
(480) 882-6359
(480) 882-4389
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
23445
AZ
207P00000X
Emergency Medicine Physician
195886
NY
207P00000X
Emergency Medicine Physician
Primary
23445
AZ
Other
Enumeration date
05/10/2006
Last updated
04/25/2022
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