Gary Crandell, P.A. Valid NPI

Individual provider · Physician Assistant · Bagdad, AZ

NPI

1528087251

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

2203 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-19

Last updated

2008-09-02