Individual
JAMES WOODSON CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6500
Mailing address
13409 DESERT HILLS PL NE, ALBUQUERQUE, NM 87111-3032
(828) 713-6520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-15453
NC
363AM0700X
Medical Physician Assistant
Primary
PA2021-0002
NM
Other
Enumeration date
07/27/2021
Last updated
07/15/2026
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