Robert Evan Crenshaw in Santa Rosa - Physician Assistant
Robert Evan Crenshaw - NPI 1770672925
Robert Evan Crenshaw is a Physician Assistant in Santa Rosa, California. Robert Evan Crenshaw practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Evan Crenshaw is 1770672925. The last update date is 2021-12-30.
Robert Evan Crenshaw's current location address is 401 Bicentennial Way Ste 120, Santa Rosa, California. You can contact this provider via phone number 7073935580 and fax number 7073934559. The mailing address for Robert Evan Crenshaw is 401 Bicentennial Way Ste 120, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Evan Crenshaw |
|---|---|
| Address | 401 Bicentennial Way Ste 120, Santa Rosa, California |
| Phone Number | 7073935580 |
| Fax Number | 7073934559 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770672925 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 401 Bicentennial Way Ste 120 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954032149 |
| Phone Number | 7073935580 |
| Fax Number | 7073934559 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16184 |
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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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Post Comment/ Review Below
What is the Robert Evan Crenshaw's 1770672925?
The Robert Evan Crenshaw's NPI (National Provider Identifier) Number is 1770672925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert Evan Crenshaw is physically located?
The Robert Evan Crenshaw is situated at the following address: 401 Bicentennial Way Ste 120, Santa Rosa, CA 954032149.
What is the Robert Evan Crenshaw's specialty and taxonomy code?
The Robert Evan Crenshaw's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Robert Evan Crenshaw receive the assignment of its 1770672925 from the Centers for Medicare & Medicaid Services?
The Robert Evan Crenshaw was issued its 1770672925 by the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the information regarding Robert Evan Crenshaw most recently updated?
The details pertaining to the Robert Evan Crenshaw, including its address, specialty, and other relevant information, were last refreshed on 2021-12-30.