Doctor Name: | CRAIG SHERMAN |
NPI Number: | 1821303520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 26054 |
Business Practice Address: | 16416 N 92nd St Ste 125 Scottsdale, AZ - 852603062 |
Business Phone Number: | 4806071970 |
Business Fax Number: | |
Mailing Address: | 16416 N 92nd St Ste 125, SCOTTSDALE |
State: | AZ |
Postal Code: | 852603062 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 26054 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |