Healthcare Provider Details

I. General information

NPI: 1699181032
Provider Name (Legal Business Name): CRISTINE TOEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 E JUNIPER AVE
SCOTTSDALE AZ
85254-7311
US

IV. Provider business mailing address

6040 E JUNIPER AVE
SCOTTSDALE AZ
85254-7311
US

V. Phone/Fax

Practice location:
  • Phone: 602-418-8188
  • Fax:
Mailing address:
  • Phone: 602-418-8188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLAC-14456
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: