Individual
CRYSTA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1413 N MILDRED RD, CORTEZ, CO 81321-2258
(970) 564-1037
(970) 564-1041
Mailing address
1413 N MILDRED RD, CORTEZ, CO 81321-2258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA06997
TX
363AM0700X
Medical Physician Assistant
Primary
PA06997
TX
Other
Enumeration date
04/14/2011
Last updated
11/27/2023
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