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Individual

MR. JAMES R CRABILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8880
MN
363A00000X
Physician Assistant
Primary
PAC0014
ND
363AM0700X
Medical Physician Assistant
8880
MN
363AM0700X
Medical Physician Assistant
PAC0014
ND
363AS0400X
Surgical Physician Assistant
8880
MN
363AS0400X
Surgical Physician Assistant
PAC0014
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18053
ND
Enumeration date
05/19/2006
Last updated
06/15/2022
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