| B. Robert Crago Phd Pc | |
|
5363 E Pima St Ste 100 Tucson AZ 85712-3663 | |
| (520) 323-0062 | |
| (520) 323-1336 |
| Full Name | B. Robert Crago Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 5363 E Pima St Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Byrl Robert Crago (PRESIDENT) |
| Authorized Official Contact | 5203230062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Robert Crago Phd Pc 5363 E Pima St Ste 100 Tucson AZ 85712-3663 Ph: (520) 323-0062 | B. Robert Crago Phd Pc 5363 E Pima St Ste 100 Tucson AZ 85712-3663 Ph: (520) 323-0062 |
| NPI Number | 1003476292 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 06/19/2019 |
| Medicare PECOS PAC ID | 1254768716 |
|---|---|
| Medicare Enrollment ID | O20200221000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003476292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Byrl R Crago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154517233 PECOS PAC ID: 0143255158 Enrollment ID: I20050928001094 |
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