# JEFF CRAWFORD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeff Crawford MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316062706
- **Authorized official:** JEFF CRAWFORD MD (OWNER PRESIDENT OF CORPORATION)
- **Authorized official phone:** (520) 363-9782

## Contact information

- **Practice address:** 351 AIRPORT ROAD, KEARNY, AZ 85237-1179
- **Practice address phone:** (520) 363-9772
- **Practice address fax:** (520) 363-9774
- **Mailing address:** PO BOX 1179, 351 AIRPORT ROAD, KEARNY, AZ 85239-1179
- **Mailing address phone:** (520) 363-9772
- **Mailing address fax:** (520) 363-9774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18695 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | 5268 | MT | — |
| 207Q00000X | Family Medicine Physician | G53019 | CA | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006868 | — | AZ |
