Individual
MRS. SUSAN ANTHONY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 RED CROSS PL, BOGALUSA, LA 70427-3732
(985) 735-6408
(985) 735-7974
Mailing address
100 RED CROSS PL, BOGALUSA, LA 70427-3732
(985) 735-6408
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
017629
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901491
—
LA
Enumeration date
11/03/2006
Last updated
06/15/2010
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