David Bruce Crandall in Fort Drum - Emergency Medicine
David Bruce Crandall - NPI 1811906522
David Bruce Crandall is a Emergency Medicine in Fort Drum, New York. David Bruce Crandall practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for David Bruce Crandall is 1811906522. The last update date is 2011-12-20.
David Bruce Crandall's current location address is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for David Bruce Crandall is 11050 Mount Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Bruce Crandall |
|---|---|
| Address | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1811906522 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 11050 Mount Belvedere Blvd |
|---|---|
| City | Fort Drum |
| State | New York (NY) |
| Post Code | 136025004 |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 1993 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Post Comment/ Review Below
What is the unique identifier code issued to David Bruce Crandall by the Centers for Medicare & Medicaid Services (CMS)?
The David Bruce Crandall has been assigned the NPI (National Provider Identifier) 1811906522. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where David Bruce Crandall's facilities are geographically located?
The facilities of David Bruce Crandall are physically situated at the following location: 11050 Mount Belvedere Blvd, Fort Drum, NY, 136025004.
What is David Bruce Crandall's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Bruce Crandall's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did the David Bruce Crandall receive the assignment of its 1811906522 from the Centers for Medicare & Medicaid Services?
The David Bruce Crandall was issued its 1811906522 by the Centers for Medicare & Medicaid Services on 2006-08-05.
As of what date were the details related to David Bruce Crandall most recently updated or revised?
The information pertaining to David Bruce Crandall, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-20.
NPI Number: 1528061793
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