Individual
DR. DENNIS G CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1432 S DOBSON RD, SUITE 201, MESA, AZ 85202-4768
(480) 962-0071
(480) 962-0590
Mailing address
1432 S DOBSON RD, SUITE 201, MESA, AZ 85202-4768
(480) 962-0071
(480) 962-0590
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
22422
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167800
—
AZ
Enumeration date
05/03/2006
Last updated
11/09/2007
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