Individual
MR. ALLEN WAYNE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 725-1226
(540) 857-5306
Mailing address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 725-1226
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004077
VA
363AS0400X
Surgical Physician Assistant
Primary
0110004077
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356685499
ANTHEM MEDIGAP
VA
01
—
371194700
BLACK LUNG
VA
01
—
P01201634
RAILROAD MEDICARE
VA
Enumeration date
11/15/2012
Last updated
07/08/2021
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