Individual
SARAH KRISTIN CRUDDEN FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N 4TH AVE E STE 200, NEWTON, IA 50208-3179
(641) 792-2112
(641) 792-8484
Mailing address
300 N 4TH AVE E STE 200, NEWTON, IA 50208-3179
(641) 792-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-10068
KS
207Q00000X
Family Medicine Physician
Primary
DO-06179
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO-06179
STATE LICENSE
IA
Enumeration date
06/27/2019
Last updated
10/04/2022
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