Organization
STEVEN CRAWFORD
Active
Other names
Desoto Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D CRAWFORD DO (OWNER)
(636) 586-6685
Entity
Organization
Contact information
Practice address
12 JEFFERSON SQ, DESOTO, MO 63020-1031
(636) 586-6685
(636) 586-2780
Mailing address
12 JEFFERSON SQ, DESOTO, MO 63020-1031
(636) 586-6685
(636) 586-2780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002007109
MD
207Q00000X
Family Medicine Physician
Primary
R6C68
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41506
AOA #
MO
05
—
598201408
—
MO
Enumeration date
01/23/2007
Last updated
03/07/2023
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