Individual
DR. GARRY CRUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 CAPITOLA RD, SANTA CRUZ, CA 95062-2912
(831) 427-3500
Mailing address
PO BOX 541, SANTA CRUZ, CA 95061-0541
(831) 427-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A606870
MEDI-CAL ID NUMBER
CA
Enumeration date
09/06/2006
Last updated
03/13/2024
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