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Organization

CHARLES T. CRINNIAN, MD PC

Active
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Organization

CHARLES T. CRINNIAN, MD PC

Active
Other names
Frontier Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES THOMAS CRINNIAN MD (PRESIDENT)
(480) 451-7676
Entity
Organization

Contact information

Practice address
10250 N 92ND ST, SUITE 304, SCOTTSDALE, AZ 85258-4510
(480) 451-7676
(480) 451-0971
Mailing address
10250 N 92ND ST, SUITE 304, SCOTTSDALE, AZ 85258-4510
(480) 451-7676
(480) 451-0971

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21041
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168915
AZ
Enumeration date
10/18/2006
Last updated
01/04/2008
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