Provider Demographics
NPI:1538331798
Name:CROWELL, BILL N (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:N
Last Name:CROWELL
Suffix:
Gender:M
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9040 REID ST # A
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1101
Mailing Address - Country:US
Mailing Address - Phone:253-968-3162
Mailing Address - Fax:253-968-3278
Practice Address - Street 1:9040 REID ST # A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1101
Practice Address - Country:US
Practice Address - Phone:253-968-3162
Practice Address - Fax:253-968-3278
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10001508363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical