Individual
DEAN CROSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
420 N 2ND AVE, SANDPOINT, ID 83864-1565
(208) 263-0450
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 252-1900
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003596
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8321820
—
WA
Enumeration date
10/13/2006
Last updated
05/11/2021
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