Dean Crosgrove in Liberty Lake - Physician Assistant
Dean Crosgrove - NPI 1801986690
Dean Crosgrove is a Physician Assistant in Liberty Lake, Washington. Dean Crosgrove practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dean Crosgrove is 1801986690. The last update date is 2021-05-11.
Dean Crosgrove's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 5092521900 and fax number 5092277070. The mailing address for Dean Crosgrove is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean Crosgrove |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 5092521900 |
| Fax Number | 5092277070 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1801986690 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2021-05-11 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 5092521900 |
| Fax Number | 5092277070 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10003596 |
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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 |
|---|---|---|---|
| 8321820 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dean Crosgrove by the Centers for Medicare & Medicaid Services?
The Dean Crosgrove has been issued the NPI (National Provider Identifier) 1801986690, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dean Crosgrove's facilities are situated?
The facilities of Dean Crosgrove are physically located at the following address: Po Box 421, Liberty Lake, WA, 990190421.
What is Dean Crosgrove's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dean Crosgrove's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1801986690 assigned to Dean Crosgrove?
The Dean Crosgrove was issued its 1801986690 on 2006-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dean Crosgrove most recently updated or revised?
The information pertaining to Dean Crosgrove, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-11.
NPI Number: 1982607784
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