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Individual

MR. DAVID W CROSSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
(406) 771-3012
Mailing address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
(406) 771-3012

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
185
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092033
BLUE CROSS BLUE SHIELD
MT
05
1285606756
MT
01
970005612
MEDICARE RAILROAD
Enumeration date
02/07/2006
Last updated
07/15/2015
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