Tiffany C Crabb in Lakewood - Physician Assistant

Tiffany C Crabb - NPI 1003843525

Tiffany C Crabb is a Physician Assistant in Lakewood, Washington. Tiffany C Crabb practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tiffany C Crabb is 1003843525. The last update date is 2011-10-18.

Tiffany C Crabb's current location address is 7308 Bridgeport Way W, Lakewood, Washington. You can contact this provider via phone number 2535827257 and fax number 2535821617. The mailing address for Tiffany C Crabb is 7308 Bridgeport Way W, Lakewood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Tiffany C Crabb
Address 7308 Bridgeport Way W, Lakewood, Washington
Phone Number 2535827257
Fax Number 2535821617
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1003843525
Provider Enumeration Date 2006-06-28
Last Updated Date 2011-10-18

Provider Mailing Address Detail

Address 7308 Bridgeport Way W
City Lakewood
State Washington (WA)
Post Code 9849927770
Phone Number 2535827257
Fax Number 2535821617

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10005100
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
8468894 WA --
2156SA WA BSWA
215352 WA LIWA

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FAQs about Tiffany C Crabb

Could you please provide the complete street address where Tiffany C Crabb is physically located?

The Tiffany C Crabb is physically situated at the following address: 7308 Bridgeport Way W, Lakewood, WA, 9849927770.

What is the Tiffany C Crabb's area of specialization and corresponding taxonomy classification?

The Tiffany C Crabb's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did the Tiffany C Crabb receive its 1003843525?

The Tiffany C Crabb was issued its 1003843525 on 2006-06-28, which is the date when the organization was assigned this unique identifier.

On what date did the Tiffany C Crabb receive its 1003843525 assignment from the Centers for Medicare & Medicaid Services?

The Tiffany C Crabb was assigned its 1003843525 by the Centers for Medicare & Medicaid Services on 2006-06-28.

As of what date were the Tiffany C Crabb's details last updated?

The information pertaining to the Tiffany C Crabb, including its address, specialty, and other details, was most recently updated on 2011-10-18.

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