| Frontier Neurology | |
|
10250 N 92nd St Suite 304 Scottsdale AZ 85258-4510 | |
| (480) 451-7676 | |
| (480) 451-0971 |
| Full Name | Frontier Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 10250 N 92nd St, Scottsdale, Arizona |
| Authorized Official Name and Position | Charles Thomas Crinnian (PRESIDENT) |
| Authorized Official Contact | 4804517676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Neurology 10250 N 92nd St Suite 304 Scottsdale AZ 85258-4510 Ph: (480) 451-7676 | Frontier Neurology 10250 N 92nd St Suite 304 Scottsdale AZ 85258-4510 Ph: (480) 451-7676 |
| NPI Number | 1891876710 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891876710 | NPI | - | NPPES |
| 168915 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 21041 (Arizona) | Primary |
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