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Organization

RICK CRAWFORD MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICKY E CRAWFORD M.D. (PROPRIETOR)
(812) 480-6698
Entity
Organization

Contact information

Practice address
1202 W BUENA VISTA RD, SUITE 100, EVANSVILLE, IN 47710
(812) 480-6698
(812) 437-0037
Mailing address
1020 SPRING CREEK DR, EVANSVILLE, IN 47710-5404
(812) 480-6698
(812) 437-0037

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031897
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246550A
IN
Enumeration date
07/09/2013
Last updated
07/10/2023
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