Courtnie Lyn Crockett, PA-C

NPI #1962051797 in Peoria, Arizona

Provider Information

NPI Number: 1962051797
Entity Type: Individual
Name: Courtnie Lyn Crockett, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 4, 2019
Last Updated: Sep 14, 2021

Practice Location

Address: 6780 W THUNDERBIRD RD STE A101
City: Peoria
State: Arizona
ZIP Code: 85381-5049
Phone: (028) 431-9916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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