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Contact Information

CHARLENE A CRANDALL, PA
BANNER MD ANDERSON CANCER CENTER
2940 E. BANNER GATEWAY DRIVE
GILBERT, AZ85234
 Phone: 480-256-6444
 Fax: 480-256-3682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLENE A CRANDALL · (Female)

NPI # 1124059217
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/06/2006
Last updated 03/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2666
Hospital affiliation(s) Not Available
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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