Individual provider · Type 1 NPI

Charlene Ann Crandall, PA

Surgical Physician Assistant · Gilbert, AZ

NPI number 1124059217 Active

Practice location

Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive
Gilbert, AZ 85234

Fax (480) 256-3682

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2666 (AZ)
Surgical Physician Assistant Primary 363AS0400X2666 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1124059217

Charlene Ann Crandall, PA's National Provider Identifier is 1124059217, issued on Jul 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gilbert, AZ. The record was last updated on Mar 31, 2023.