Gary Crandell is a Physician Assistant in Heber, Arizona. Gary Crandell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary Crandell is 1528087251. The last update date is 2008-09-02.
Gary Crandell's current location address is Po Box 1169, Heber, Arizona. You can contact this provider via phone number 9286335922. The mailing address for Gary Crandell is Po Box 1169, Heber, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Crandell |
|---|---|
| Address | Po Box 1169, Heber, Arizona |
| Phone Number | 9286335922 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1528087251 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2008-09-02 |
Provider Mailing Address Detail
| Address | Po Box 1169 |
|---|---|
| City | Heber |
| State | Arizona (AZ) |
| Post Code | 859281169 |
| Phone Number | 9286335922 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2203 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 567753 | AZ | -- |
Post Comment/ Review Below
Can you provide the Gary Crandell's physical address?
The Gary Crandell is physically located at Po Box 1169, in the city of Heber, AZ, with the postal code 859281169.
What is the Gary Crandell's area of specialization and corresponding taxonomy classification?
The Gary Crandell's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Gary Crandell receive its 1528087251 assignment from the Centers for Medicare & Medicaid Services?
The Gary Crandell was assigned its 1528087251 by the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the Gary Crandell's details last updated?
The information pertaining to the Gary Crandell, including its address, specialty, and other details, was most recently updated on 2008-09-02.
As of what date were the details related to Gary Crandell most recently updated or revised?
The information pertaining to Gary Crandell, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-02.