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Individual

MR. GERALD THOMAS CRENSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20895 OMAHA AVE, PARKER, CO 80138-3100
(720) 581-1611
Mailing address
20895 OMAHA AVE, PARKER, CO 80138-3100

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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