Individual
GARY MCCLENDON CRABTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 S 2ND AVE STE B, WALLA WALLA, WA 99362-4118
(509) 529-6673
Mailing address
1125 S 2ND AVE STE B, WALLA WALLA, WA 99362-4118
(509) 529-6673
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00021822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121060
—
WA
05
—
1336124361
—
WA
Enumeration date
12/13/2005
Last updated
01/28/2022
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