# TOK CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043417959
- **Authorized official:** MR. DAVID F CRAWFORD M.B.A. (ADMINISTRATOR)
- **Authorized official phone:** (907) 883-5855

## Contact information

- **Practice address:** MILE 124.5 TOK CUTOFF, TOK, AK 99780-0289
- **Practice address phone:** (907) 883-5855
- **Practice address fax:** (907) 883-1043
- **Mailing address:** PO BOX 289, TOK, AK 99780-0289
- **Mailing address phone:** (907) 883-5855
- **Mailing address fax:** (907) 883-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | AA 2011 | AK | — |
| 207Q00000X | Family Medicine Physician | AA 2011 | AK | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 07/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD 25592 | — | AK |