Individual
MEGAN MACGREGOR CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9191 GRANT ST., THORNTON, CO 80229-8812
(303) 450-4482
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001843
CO
363AM0700X
Medical Physician Assistant
1843
CO
363AS0400X
Surgical Physician Assistant
1843
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47586851
—
CO
01
—
P00608312
RAILROAD MEDICARE
CO
Enumeration date
09/28/2006
Last updated
06/16/2015
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