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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