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Individual

DR. CHARLES THOMAS CRINNIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(480) 323-3000
Mailing address
7351 E OSBORN RD, ATTN: PHYSICIAN BUSINESS SERVICES, SCOTTSDALE, AZ 85251-6451
(480) 882-4335
(480) 882-5705

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
01/04/2008
Last updated
06/09/2008
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