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Individual

MRS. CHARLENE ANN CRANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2666
AZ
363AS0400X
Surgical Physician Assistant
Primary
2666
AZ

Other

Enumeration date
07/06/2006
Last updated
03/31/2023
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