Search › Idaho › 207RC0000X
Mark Crandall, MD
NPI 1619096278 · on the registry since 2007
Practice
- Address
- 775 Pole Line Rd W Ste 112
Twin Falls, ID 83301 - Phone
- (208) 814-8200
- Fax
- (208) 933-4921
- Organisation at this address
- St Luke'S Clinic Llc
St Luke'S Clinic, Llc
David Johnson, M.D., P. A.
Arthritis Center Of Idaho,Pa
Bruce C Mccomas, M. D., P. A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 108
Additional practice sites
- 473 W 12th Ave Ste 200, Columbus, OH
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
- Licence states on file
- MN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho