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Contact Information

GARY M CRABTREE, MD
1125 S 2ND AVE STE B
WALLA WALLA, WA99362-4118
 Phone: 509-529-6673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GARY M CRABTREE · (Male)

NPI Number 1336124361
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 01/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00021822
  • WA Medicaid 1121060
  • WA Medicaid 1336124361
Hospital affiliation(s)
  • PROVIDENCE ST MARY MEDICAL CENTER - (Acute Care)
    401 W POPLAR ST
    WALLA WALLA, WA 99362
  • ST ANTHONY HOSPITAL - (Critical Access)
    2801 ST ANTHONY WAY
    PENDLETON, OR 97801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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