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Individual

LEONARD ELROY CRAWFORD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 L STREET, SUITE 200, SACRAMENTO, CA 95816
(916) 453-5700
(916) 453-5788
Mailing address
2800 L STREET, SUITE 200, SACRAMENTO, CA 95816
(916) 453-5700
(916) 453-5788

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C31135
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C311350
CA
01
P00118778
RAILROAD MEDICARE
CA
Enumeration date
09/21/2006
Last updated
10/08/2007
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