Provider Demographics
NPI:1780946921
Name:CRFP, P.L.L.C.
Entity type:Organization
Organization Name:CRFP, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PANDORA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:520-744-3952
Mailing Address - Street 1:8275 N SILVERBELL RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-5308
Mailing Address - Country:US
Mailing Address - Phone:520-744-3952
Mailing Address - Fax:520-744-2860
Practice Address - Street 1:8275 N SILVERBELL RD
Practice Address - Street 2:SUITE 113
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-5308
Practice Address - Country:US
Practice Address - Phone:520-744-3952
Practice Address - Fax:520-744-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty