Individual
MR. RANDALL A CROWNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5039 SWAMP RD, SUITE 406, FOUNTAINVILLE, PA 18923-9667
(215) 348-1523
(215) 348-9501
Mailing address
PO BOX 477, FOUNTAINVILLE, PA 18923-0477
(215) 348-1523
(215) 348-9501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN242770L
PA
367H00000X
Anesthesiologist Assistant
RN242770L
PA
Other
Enumeration date
11/11/2009
Last updated
05/24/2010
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