Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL B CROCKETT, PA
ActiveRANDALL B CROCKETT, PA is a Physician Assistant healthcare provider located in SNOWFLAKE, Arizona. NPI 1295897957 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SNOWFLAKE, AZ
Registration Details
- NPI Number
- 1295897957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2006 (19.644690854924 yrs)
- Last Updated
- Apr 12, 2024
- License
-
7107 (AZ)
Practice Information
- Address
-
1121 S MAIN STSNOWFLAKE, AZ, 859375645Browse AZ providers · Browse ZIP 85937
- Phone
- 9285365858
- Fax
- 9285362196
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SNOWFLAKE, AZ
| Name | Credential | NPI |
|---|---|---|
| ALICIA K LADUKE | PAC | 1619924487 |
| MRS. MAGGIE B PRICE | PA-C | 1700217718 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.