Gary Mcclendon Crabtree (NPI# 1336124361, PAC ID# 6002878071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1336124361 |
| PAC ID by PECOS | 6002878071 |
| Professional Enrollment ID | I20041102000130 |
| Full Name | Gary Mcclendon Crabtree |
| Address |
1017 S 2nd Ave Suite 4 Walla Walla WA 99362-4183 |
| Phone Number | 5095296673 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381319 | ST ANTHONY HOSPITAL |
| 500002 | PROVIDENCE ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3001 St Anthony Way, Suite 205, Pendleton, OR 97801-3862 | 5419662425 | |
| 1017 S 2nd Ave, Suite 4, Walla Walla, WA 99362-4183 | 5095296673 |
| Street Address |
1017 S 2ND AVE SUITE 4 |
| City | WALLA WALLA |
| State | WA |
| Zip | 99362-4183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Wallace | Clinical Social Worker | 19 E Birch, Suite 103, Walla Walla, WA 99362 | |
| Susan L Stough | Clinical Social Worker | 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202 | |
| Natasha Anne Rustad | Clinical Social Worker | 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202 | |
| Pavel S Blagov | Clinical Psychologist | 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202 | |
| Robert L Stough Jr. | Psychologist, Clinical | 409 E Sumach St, Walla Walla, WA 99362-1228 | |
| Chance Higginbotham | Chiropractic | 2200 Melrose St, 7a, Walla Walla, WA 99362-1579 | |
| Alayna M Brinton | Clinical Social Worker | 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589 | |
| Sean Thomas Duffy | Family Medicine | Yakima Valley Farm Workers Clinic | 1120 W Rose St, Walla Walla, WA 99362-1662 |
| Bradley K Nielson | Optometry | 208 N 2nd Ave, Walla Walla, WA 99362-1806 | |
| Eric John Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Find all physicians in zip 99362 | |||
| City | WALLA WALLA |
| Zip Code | 99362 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | WALLA WALLA + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Gary Mcclendon Crabtree.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.