Doctor Name: | ERNESTINE ALVA CROZIER |
NPI Number: | 1558489120 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 940 Hualapai Way Peach Springs, AZ - 86434 |
Business Phone Number: | 9287692900 |
Business Fax Number: | 9287692701 |
Mailing Address: | 940 Hualapai Way, PEACH SPRINGS |
State: | AZ |
Postal Code: | 86434 |
Phone Number: | 9287692900 |
Fax Number: | 9287692701 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |