Individual
DR. BRAD EVERETT CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
800 BUFFALO ST SUITE B, FARMVILLE, VA 23901
(434) 315-5868
(434) 315-5989
Mailing address
PO BOX 371, FARMVILLE, VA 23901
(434) 315-5868
(434) 315-5989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555908
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441949
ANTHEM
—
Enumeration date
11/02/2006
Last updated
07/08/2007
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