Organization
TOK CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F CRAWFORD M.B.A. (ADMINISTRATOR)
(907) 883-5855
Entity
Organization
Contact information
Practice address
MILE 124.5 TOK CUTOFF, TOK, AK 99780-0289
(907) 883-5855
(907) 883-1043
Mailing address
PO BOX 289, TOK, AK 99780-0289
(907) 883-5855
(907) 883-1043
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AA 2011
AK
207Q00000X
Family Medicine Physician
Primary
AA 2011
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 25592
—
AK
Enumeration date
07/03/2007
Last updated
07/07/2010
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