Crystal Smalls-Gonzales in Huntingtown - Physician Assistant
Crystal Smalls-Gonzales - NPI 1689624843
Crystal Smalls-Gonzales is a Physician Assistant in Huntingtown, Maryland. Crystal Smalls-Gonzales practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Crystal Smalls-Gonzales is 1689624843. The last update date is 2007-10-05.
Crystal Smalls-Gonzales's current location address is 6534 Christmas Tree Ln, Huntingtown, Maryland. You can contact this provider via phone number 3017878718. The mailing address for Crystal Smalls-Gonzales is 6534 Christmas Tree Ln, Huntingtown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Smalls-Gonzales |
|---|---|
| Address | 6534 Christmas Tree Ln, Huntingtown, Maryland |
| Phone Number | 3017878718 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1689624843 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 6534 Christmas Tree Ln |
|---|---|
| City | Huntingtown |
| State | Maryland (MD) |
| Post Code | 206393211 |
| Phone Number | 3017878718 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA149 |
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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 Crystal Smalls-Gonzales's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crystal Smalls-Gonzales's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Crystal Smalls-Gonzales's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal Smalls-Gonzales is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1689624843 assigned to Crystal Smalls-Gonzales?
The Crystal Smalls-Gonzales was issued its 1689624843 on 2006-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Crystal Smalls-Gonzales receive the assignment of its 1689624843 from the Centers for Medicare & Medicaid Services?
The Crystal Smalls-Gonzales was issued its 1689624843 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date was the information pertaining to Crystal Smalls-Gonzales, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crystal Smalls-Gonzales, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-05.