NPI 1134540420

Robert Cullen Crooks, PAC

Practitioner Medical Physician Assistant Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87401
Phone: (505) 368-6001
Fax: (505) 368-7011
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2013-0076 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1134540420
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2014
Record last updated: 3 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.