Individual
TONY CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2422 WISTERIA ST, NEW ORLEANS, LA 70122-4866
(504) 874-7002
(504) 949-1222
Mailing address
2422 WISTERIA ST, NEW ORLEANS, LA 70122-4866
(504) 874-7002
(504) 949-1222
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174467
—
LA
Enumeration date
06/18/2008
Last updated
06/18/2008
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