Individual
DR. RICKY E CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 W BUENA VISTA RD, SUITE 100, EVANSVILLE, IN 47710
(812) 429-1520
(812) 429-1523
Mailing address
1202 W BUENA VISTA RD, SUITE 100, EVANSVILLE, IN 47710
(812) 429-1520
(812) 429-1523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031897
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246550A
—
IN
Enumeration date
01/13/2006
Last updated
02/04/2010
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