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NPI Code Detail

MEDICARE: CRANIAL TECHNOLOGIES, INC.

MEDICARE: CRANIAL TECHNOLOGIES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1689661613
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRANIAL TECHNOLOGIES, INC.
Provider Business Mailing Address
First Line : 1405 W AUTO DR FL 2
Second Line :
City : TEMPE
State : AZ
Zip : 85284-1227
Country : US
Telephone Number : 844-447-5894
Fax Number : 844-447-5895
Provider Business Practice Location Address
First Line : 1405 W AUTO DR FL 2
Second Line :
City : TEMPE
State : AZ
Zip : 85284-1227
Country : US
Telephone Number : 844-447-5894
Fax Number : 844-447-5895
Authorized Official
Title or Position : COMPLIANCE & MEDICAID SPECIALIST
Name : OUMOU K BAH
Credential :
Telephone Number : 602-393-8188
Provider Enumeration Date : 10/04/2005
Last Update Date : 05/05/2025

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Directions to “CRANIAL TECHNOLOGIES, INC. ” Practice Location

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