Individual
ADEBAYO O. CROWNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 S MIDDLETON RD, NAMPA, ID 83651
(208) 505-2800
(208) 505-2801
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8698
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806439300
—
ID
Enumeration date
06/22/2006
Last updated
09/12/2023
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