Individual
KEITH ROBERT CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1605 STAFFORD DR, TYLER, TX 75703-0839
(903) 941-9247
(888) 503-2519
Mailing address
1605 STAFFORD DR, TYLER, TX 75703-0839
(903) 941-9247
(888) 503-2519
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2066
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
BN6420119-057356
OH
Other
Enumeration date
03/21/2011
Last updated
07/05/2022
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