Individual
DR. DAVID BRUCE CRANDALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Mailing address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02003945
IN
207P00000X
Emergency Medicine Physician
1993
WV
Other
Enumeration date
08/05/2006
Last updated
12/20/2011
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