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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 : 1467117523
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRANIAL TECHNOLOGIES, INC.
Provider Business Mailing Address
First Line : 1405 W AUTO DRIVE FL 2
Second Line :
City : TEMPE
State : AZ
Zip : 85284-1016
Country : US
Telephone Number : 844-447-5894
Fax Number :
Provider Business Practice Location Address
First Line : 1722 SWEETWATER RD STE A
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7646
Country : US
Telephone Number : 844-447-5894
Fax Number :
Authorized Official
Title or Position : PROCESS IMPROVEMENT SPECIALIST
Name : OUMOU K BAH
Credential :
Telephone Number : 480-403-6374
Provider Enumeration Date : 11/03/2021
Last Update Date : 11/03/2021

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Directions to “CRANIAL TECHNOLOGIES, INC. ” Practice Location

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