Organization
SARA E. CROWDER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA E CROWDER MD (SOLE PROPRIETOR)
(573) 442-2221
Entity
Organization
Contact information
Practice address
1605 E BROADWAY STE 220, COLUMBIA, MO 65201-8023
(573) 442-2221
(573) 449-8646
Mailing address
1605 E BROADWAY STE 260, COLUMBIA, MO 65201-8044
(573) 442-2221
(573) 449-8646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2002015736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205887912
—
MO
Enumeration date
12/06/2010
Last updated
01/11/2011
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