Individual
MR. ALLEN GEORMARIO CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
201 DONAGHEY AVE, PRINCE CENTER 127, CONWAY, AR 72035-5001
(501) 450-3214
Mailing address
12240 MARYLAND PL, SHERWOOD, AR 72120-3090
(501) 766-4251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 304
AR
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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