Provider Demographics
NPI:1326162058
Name:KRUZEL, THOMAS ANDREW (ND)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANDREW
Last Name:KRUZEL
Suffix:
Gender:M
Credentials:ND
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:ANDREW
Other - Last Name:KRUZEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:9755 N 90TH ST
Mailing Address - Street 2:A-210
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5046
Mailing Address - Country:US
Mailing Address - Phone:480-767-7119
Mailing Address - Fax:480-614-5822
Practice Address - Street 1:9755 N 90TH ST
Practice Address - Street 2:A-210
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5046
Practice Address - Country:US
Practice Address - Phone:480-767-7119
Practice Address - Fax:480-614-5822
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01-605175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath