Provider Demographics
NPI:1033271788
Name:ALAN D. CROSS,D.C.,P.C.
Entity Type:Organization
Organization Name:ALAN D. CROSS,D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-797-4177
Mailing Address - Street 1:6595 N ORACLE RD STE 135
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5645
Mailing Address - Country:US
Mailing Address - Phone:520-797-4177
Mailing Address - Fax:520-797-4177
Practice Address - Street 1:6595 N ORACLE RD STE 135
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5645
Practice Address - Country:US
Practice Address - Phone:520-797-4177
Practice Address - Fax:520-797-4177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDC5368111N00000X
111N00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4236804OtherCIGNA
AZ623749OtherUNITED
AZ2475934OtherAETNA
AZ1Z5754OtherHEALTHNET
AZAZ0944510OtherBCBS
AZ623749OtherUNITED