Organization
CRAWFORD RADIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA S KNUTH DO (OWNER)
(616) 544-3131
Entity
Organization
Contact information
Practice address
1000 N ALLEN ST, DEPT OF RADIOLOGY, ROBINSON, IL 62454
(616) 544-3131
Mailing address
PO BOX 790126, DEPT 30660, SAINT LOUIS, MO 63179-0126
(866) 331-7699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001732008
BCBS OF ILL
IL
Enumeration date
11/16/2006
Last updated
07/18/2007
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