Robert David Crandall in Loveland - Physician Assistant
Robert David Crandall - NPI 1629199492
Robert David Crandall is a Physician Assistant in Loveland, Colorado. Robert David Crandall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert David Crandall is 1629199492. The last update date is 2016-07-28.
Robert David Crandall's current location address is 2695 Rocky Mountain Ave, Loveland, Colorado. You can contact this provider via phone number 9706244036 and fax number 9704904378. The mailing address for Robert David Crandall is 2695 Rocky Mountain Ave, Loveland, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert David Crandall |
|---|---|
| Address | 2695 Rocky Mountain Ave, Loveland, Colorado |
| Phone Number | 9706244036 |
| Fax Number | 9704904378 |
| Sole Proprietor | N |
| Credentials | M.P.A. |
NPI Number Detail
| NPI Number | 1629199492 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2016-07-28 |
Provider Mailing Address Detail
| Address | 2695 Rocky Mountain Ave |
|---|---|
| City | Loveland |
| State | Colorado (CO) |
| Post Code | 805389071 |
| Phone Number | 9706244036 |
| Fax Number | 9704904378 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA.0003720 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79138861 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Robert David Crandall by the Centers for Medicare & Medicaid Services?
The Robert David Crandall has been issued the NPI (National Provider Identifier) 1629199492. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert David Crandall located?
The Robert David Crandall is located at 2695 Rocky Mountain Ave, Loveland, CO 805389071.
What is the area of specialization for Robert David Crandall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert David Crandall is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629199492 to Robert David Crandall?
The Centers for Medicare & Medicaid Services originally issued the 1629199492 to Robert David Crandall on 2007-04-02.
As of what date were the Robert David Crandall's details last updated?
The information pertaining to the Robert David Crandall, including its address, specialty, and other details, was most recently updated on 2016-07-28.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN