Wallace Vernon Crandall
MD | Pediatric Gastroenterology | Male
Wallace Vernon Crandall, MD is a Columbus, Ohio based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Wallace Vernon Crandall is
700 Children's Drive, Columbus, Ohio - 43205-2664. He can be contacted on phone at
614-722-3450 and fax number 614-722-3454.
Wallace Vernon Crandall is a sole proprietor of his business.
NPI number (Unique professional ID) for Wallace Vernon Crandall is
1932108123 which was assigned by NPPES on 19 Jul, 2005 and it was last updated on 27 Jan, 2016.
Wallace Vernon Crandall license number is
35-078095 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Ohio.
Wallace Vernon Crandall specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Wallace Vernon Crandall basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Wallace Vernon Crandall |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Wallace Vernon Crandall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 Children's Drive
Columbus, OH, 43205-2664
United States |
|---|
| Phone Number : | 614-722-3450 |
|---|
| Fax Number : | 614-722-3454 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932108123 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 19 Jul, 2005 |
|---|
| Last Updated On : | 27 Jan, 2016 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallace Vernon Crandall are as mentioned. Primary taxonomy code for Wallace Vernon Crandall, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 35-078095 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Wallace Vernon Crandall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2196869 | MEDICAID | OH | |
| 6402137100 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 Children's Drive
Columbus, OH, 43205-2664
United States |
|---|
| Phone Number : | 614-722-3450 |
|---|
| Fax Number : | 614-722-3454 |
|---|
Business Location:
Patients can refer following map for directions to
Wallace Vernon Crandall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.