Individual
NICHOLAS CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2010 ACTIVE WAY, BRYANT, AR 72022-9267
(501) 315-0984
(501) 847-1405
Mailing address
2010 ACTIVE WAY, BRYANT, AR 72022-9267
(501) 315-0984
(501) 847-1405
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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