ALAN E CRANDALL

BLACKFOOT, ID
NPI1770002974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1498)
Enumeration Date2017-09-19
Last Update Date2020-08-20
Business Address
ALAN E CRANDALL PA-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
Mailing Address
ALAN E CRANDALL PA-C
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-542-9111