Individual
DR. RICHARD ERIC CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1500
(334) 280-1600
Mailing address
PO BOX 241587, MONTGOMERY, AL 36124-1587
(334) 280-1500
(334) 280-1600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13372
AL
207RI0011X
Interventional Cardiology Physician
Primary
13372
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051006851
BLUE SHIELD PROVIDER #
AL
01
—
051006982
BLUE SHIELD PROVIDER #
AL
01
—
051089507
BLUE SHIELD PROVIDER #
AL
01
—
051544338
BLUE SHIELD PROVIDER #
AL
01
—
13372
MEDICAL LICENSE
AL
05
—
89507
—
AL
Enumeration date
07/10/2006
Last updated
03/07/2023
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