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Individual
DR. MARK R CRUMP
Active
Individual
DR. MARK R CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3938
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000167046403
UNITED HEALTH CARE
—
01
—
080046875
RAILROAD MEDICARE
—
05
—
115678001
—
AR
01
—
13272000000
QUALCHOICE
—
01
—
5297056
AETNA
—
01
—
770008701
BREASTCARE
AS
Enumeration date
03/01/2006
Last updated
10/03/2008
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