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Individual
JACK HAROLD CRAWFORD III
Active
Individual
JACK HAROLD CRAWFORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28267
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03624075
—
MS
01
—
051116157
BCBS
AL
01
—
051116159
BCBS
AL
01
—
051116160
BCBS
AL
01
—
051116162
BCBS
AL
05
—
128250
—
AL
05
—
128252
—
AL
05
—
128256
—
AL
05
—
128258
—
AL
Enumeration date
06/07/2007
Last updated
07/27/2011
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