Wayne Grant Crawford, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Midvale, UT

NPI

1922060284

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

105738-1206 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-03

Last updated

2017-01-26