person
Keith Robert Crandall, DPM
Foot & Ankle Surgery Podiatrist in Tyler, Texas
NPI 1104125780

Keith Robert Crandall is a Foot & Ankle Surgery Podiatrist based in Tyler, TX and is specialized in Foot & Ankle Surgery. Keith Robert Crandall practices in Tyler, TX and has the professional credentials of DPM. The NPI Number for Keith Robert Crandall is 1104125780 and holds a License No. BN6420119-057356 (Texas).

The current practice location address for Keith Robert Crandall is 1605 Stafford Dr, Tyler, TX and can be reached out via phone at 903-941-9247 and via fax at 888-503-2519. You can also correspond with Keith Robert Crandall through the mailing address at 1605 STAFFORD DR, TYLER, TX - 75703-0839 (mailing address contact number: 903-941-9247).

Location: 1605 Stafford Dr, Tyler, TX, 75703-0839
person
Provider Profile Details
NPI Number
1104125780
Provider Name
Keith Robert Crandall
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1605 Stafford Dr, Tyler, TX, 75703-0839
Phone Number
903-941-9247
Fax Number
888-503-2519
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1605 Stafford Dr
City
State
Zip
75703-0839
Phone Number
903-941-9247
Fax Number
888-503-2519
person
Provider Business Mailing Address Details
Address
1605 Stafford Dr
City
State
Zip
75703-0839
Phone Number
903-941-9247
Fax Number
888-503-2519
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
BN6420119-057356 (Ohio)
Definition
Definition to come...
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