Individual
EARL MONTE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 POLE LINE RD W, SUITE 3880, TWIN FALLS, ID 83301-5810
(208) 814-8500
(208) 734-4143
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M4887
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002607900
—
ID
Enumeration date
08/01/2006
Last updated
12/09/2014
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