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Individual

DR. MARK ELLIOTT CROWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2006 FRANKLIN ST SE, STE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472
Mailing address
2006 FRANKLIN ST SE, STE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31583
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0511-26137
BLUE CROSS BLUE SHIELD ALABAMA
AL
01
0511-26173
BLUE CROSS BLUE SHIELD ALABAMA
AL
01
0511-26174
BLUE CROSS BLUE SHIELD ALABAMA
AL
05
1497909303
AL
01
P01208730
RAILROAD MEDICARE
GA
Enumeration date
11/06/2008
Last updated
11/14/2014
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