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DR. STACEY MICHELLE WALLACE CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4004 DUPONT CIR STE 230, LOUISVILLE, KY 40207
(502) 893-1333
(502) 899-9576
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44088
KY

Other

Enumeration date
02/23/2007
Last updated
09/26/2019
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