Individual
DR. BRUCE LEROY CRABTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4651
(479) 314-6242
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4651
(479) 314-6242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C-7259
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114943001
—
AR
Enumeration date
07/21/2006
Last updated
11/09/2009
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