Individual
ANDREA BACH CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7584 HOSPITAL DR, BLDG.C SUITE 202, GLOUCESTER, VA 23061-4178
(804) 693-4645
(804) 693-5985
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101032226
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124026257
—
VA
Enumeration date
07/12/2005
Last updated
05/09/2011
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