Individual provider · Type 1 NPI
Gerald Thomas Crenshaw
Surgical Physician Assistant · Parker, CO
NPI number
1922107994
Active
Practice location
20895 Omaha Ave
Parker, CO 80138-3100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1922107994
Gerald Thomas Crenshaw's National Provider Identifier is 1922107994, issued on Sep 22, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Parker, CO. The record was last updated on Jul 8, 2007.