Individual
CASEY SUSAN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-3208
Mailing address
2222 UPTOWN LOOP NE APT D-4209, ALBUQUERQUE, NM 87110-6029
(505) 554-0833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0019
NM
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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