Russell D Crawford DO

NPI 1609968635 - Anesthesiology - 207L00000X

NPI Details
NPI 1609968635
Gender Male
Enumeration Date 09/28/2006
Last Updated 10/15/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1512 12TH AVE RD
NAMPA ID, 83686-6008, US
Phone (208) 463-5029
Fax
Business Location
1512 12TH AVE RD
NAMPA ID, 83686-6008, US
Phone (208) 463-5029
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Idaho
License Number O-0405
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According to our database, Russell D Crawford DO NPI is 1609968635, taxonomy code is 207L00000X and license number is O-0405, license state is located at Idaho. Russell D Crawford DO physically located at 1512 12th Ave Rd, Nampa ID, 83686-6008. NPI Number Russell D Crawford DO has the Individual type.

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1609968635 NPI number is provided on an as is basis without warranty of any kind. 1609968635 is maintained by the National Plan & Provider Enumeration System. The contents of Russell D Crawford DO are for informational purposes only.