Individual
STEVEN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12 JEFFERSON SQ, DE SOTO, MO 63020-1031
(636) 586-6685
(636) 586-2780
Mailing address
12 JEFFERSON SQ, DE SOTO, MO 63020-1031
(636) 586-6685
(636) 586-2780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6C68
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2640
PART B MEDICARE
MO
05
—
598201408
—
MO
Enumeration date
06/22/2005
Last updated
02/28/2022
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