Individual
MR. DENNIS CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 VARVERA RD, DOE RUN, MO 63637-3121
(573) 756-4656
(573) 760-0532
Mailing address
2200 VARVERA RD, DOE RUN, MO 63637-3121
(573) 756-4656
(573) 760-0532
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
033403
MO
Other
Enumeration date
03/30/2007
Last updated
07/09/2007
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