Individual
JEFFREY DAVID CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-7279
Mailing address
8092 W PARADISE LN APT 3111, PEORIA, AZ 85382-4994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011120
AZ
Other
Enumeration date
04/06/2020
Last updated
07/23/2024
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