Alan E Crandall, PA-C

NPI #1770002974 in Blackfoot, Idaho

Provider Information

NPI Number: 1770002974
Entity Type: Individual
Name: Alan E Crandall, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 19, 2017
Last Updated: Oct 21, 2025

Practice Location

Address: 98 POPLAR ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-1758
Phone: (208) 785-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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