Doctor Name: | MR. DENNIS CROZIER |
NPI Number: | 1033123450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | PA01098 |
Business Practice Address: | 2875 Nw Stucki Ave Hillsboro, OR - 971245806 |
Business Phone Number: | 9713101000 |
Business Fax Number: | 1000000000 |
Mailing Address: | 2875 Nw Stucki Ave, HILLSBORO |
State: | OR |
Postal Code: | 971245806 |
Phone Number: | 9713101000 |
Fax Number: | 1000000000 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 08/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA01098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |