ALAN CRANDALL, PA-C

Physician Assistant

Active Individual
NPI: 1770002974

Practice Address

98 POPLAR ST
Blackfoot, ID 83221

Phone: (208) 785-4100

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA-1498 (ID)

Frequently Asked Questions

NPI 1770002974 is the National Provider Identifier for ALAN CRANDALL, PA-C, a Physician Assistant provider located in Blackfoot, ID. This NPI was enumerated on September 19, 2017.
ALAN CRANDALL, PA-C practices at 98 POPLAR ST, Blackfoot, ID 83221.

Quick Facts

NPI
1770002974
Type
Individual
Enumerated
Sep 19, 2017
Last Updated
Oct 21, 2025

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