Individual provider · Type 1 NPI

Alan E. Crandall, PA-C

Physician Assistant · Blackfoot, ID

NPI number 1770002974 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Call (208) 785-4100 Map

Mailing address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285

Other practice locations

  • 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 · (208) 542-9111
  • 6165 W Emerald St, Boise, ID 83704-8613 · (208) 302-3900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1498 (ID)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770002974

Alan E. Crandall, PA-C's National Provider Identifier is 1770002974, issued on Sep 19, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Blackfoot, ID. The record was last updated on Oct 21, 2025.