Individual
DWAYNE CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W 10TH ST., DEPT. OF PATHOLOGY, ROLLA, MO 65401
(573) 458-7053
(573) 458-8400
Mailing address
1000 W 10TH ST., DEPT. OF PATHOLOGY, ROLLA, MO 65401
(573) 458-7053
(573) 458-8400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2002015962
MO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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