# STEVEN CRAWFORD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desoto Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588719413
- **Authorized official:** MR. STEVEN D CRAWFORD DO (OWNER)
- **Authorized official phone:** (636) 586-6685

## Contact information

- **Practice address:** 12 JEFFERSON SQ, DESOTO, MO 63020-1031
- **Practice address phone:** (636) 586-6685
- **Practice address fax:** (636) 586-2780
- **Mailing address:** 12 JEFFERSON SQ, DESOTO, MO 63020-1031
- **Mailing address phone:** (636) 586-6685
- **Mailing address fax:** (636) 586-2780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2002007109 | MD | — |
| 207Q00000X | Family Medicine Physician | R6C68 | MO | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 03/07/2023