Organization
CRAWFORD KIDS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PEYTON MILLER M.D. (OWNER)
(479) 471-5454
Entity
Organization
Contact information
Practice address
2925 ALMA HWY STE C1, VAN BUREN, AR 72956-5063
(479) 471-5454
(479) 471-5473
Mailing address
2925 ALMA HWY STE C1, VAN BUREN, AR 72956-5063
(479) 471-5454
(479) 471-5473
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
E1002
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1002
STATE LICENSE NO.
AR
01
—
F78642
UPIN
AR
Enumeration date
04/08/2008
Last updated
04/08/2008
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