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NPI Code Detail

MEDICARE: DR. THOMAS NATHAN CRUMBLEY M.D.

MEDICARE: DR. THOMAS NATHAN CRUMBLEY M.D.
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
12084P0800XPsychiatry Physician17945AZ

General Provider Information

NPI Number : 1831367457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS NATHAN CRUMBLEY M.D.
Provider Business Mailing Address
First Line : 3101 N CENTRAL AVE STE 500
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2639
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-682-7455
Provider Business Practice Location Address
First Line : 3033 N CENTRAL AVE STE 700
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2806
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-257-8029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2008
Last Update Date : 03/15/2023

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Directions to “ DR. THOMAS NATHAN CRUMBLEY M.D.” Practice Location

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