Individual
GORDON CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT208217
PA
207W00000X
Ophthalmology Physician
036169570
IL
207W00000X
Ophthalmology Physician
316022
NY
207W00000X
Ophthalmology Physician
Primary
72851-20
WI
207W00000X
Ophthalmology Physician
MD466869
PA
Other
Enumeration date
04/28/2015
Last updated
12/10/2024
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