| Dr Randall O Craft, MD | |
|
6036 N 19th Ave Ste 501, Phoenix, AZ 85015-2143 | |
| (602) 899-6444 | |
| (602) 899-4161 |
| Full Name | Dr Randall O Craft |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 6036 N 19th Ave Ste 501, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326079617 | NPI | - | NPPES |
| 896607 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 33325 (Arizona) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 33325 (Arizona) | Primary |
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Entity Name | Advanced Reconstruction And Aesthetics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275171993 PECOS PAC ID: 2769819341 Enrollment ID: O20200220000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall O Craft, MD 6036 N 19th Ave Ste 501, Phoenix, AZ 85015-2143 Ph: (602) 899-6444 | Dr Randall O Craft, MD 6036 N 19th Ave Ste 501, Phoenix, AZ 85015-2143 Ph: (602) 899-6444 |
Dr. Michael J Stumpf, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20940 N. Tatum Blvd. Ste #350, Phoenix, AZ 85050 Phone: 844-436-7874 Fax: 877-828-6834 | |
Owen Thomas Mccabe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Ms. Kathleen Dolores Van Leeuwen, MD Surgery Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0016 Fax: 602-933-4309 | |
Charles E Castillo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2320 N 3rd St, Phoenix, AZ 85004 Phone: 602-340-0201 Fax: 602-340-0367 | |
Dr. Jeromy Brink, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014 Phone: 602-277-7430 Fax: 602-279-5333 | |
Gaby A P Iskander, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Yafei Ouyang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006 Phone: 602-521-5981 |