Individual
MR. MARK DOUGLAS CRAWFORD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1288 WYAN RD, LONDON, KY 40744-9052
(606) 309-3250
Mailing address
1288 WYAN RD, LONDON, KY 40744-9052
(606) 309-3250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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