Individual provider · Type 1 NPI

Crystal Loose

Surgical Physician Assistant · Williamsport, PA

NPI number 1821406547 Active

Practice location

1705 Warren Ave, Suite 101103
Williamsport, PA 17701-2647

Call (570) 321-2020 Map

Mailing address

1201 Grampian Blvd, Suite 101103
Williamsport, PA 17701-1900

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA056962 (PA)

Surgical Physician Assistant: Definition to come...

41 other providers at this address

Other surgical physician assistant providers in Williamsport

See all in Williamsport →

About NPI 1821406547

Crystal Loose's National Provider Identifier is 1821406547, issued on Jul 25, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Williamsport, PA. The record was last updated on Sep 29, 2026.