Individual
REBECCA ERIN CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 BOB PETERS GRV STE 202, COLORADO SPRINGS, CO 80909-4533
(719) 365-6568
(719) 365-6317
Mailing address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003975
CO
363AM0700X
Medical Physician Assistant
3477
AZ
363AM0700X
Medical Physician Assistant
3975
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025016
KAISER COMMERCIAL NUMBER
CO
05
—
307093
—
AZ
05
—
49035045
—
CO
01
—
P00623803
RAILROAD MEDICARE
AZ
Enumeration date
08/16/2006
Last updated
08/16/2019
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