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Individual

MARK K CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2901 TRANSPORT ST SE, ALBUQUERQUE, NM 87106
(505) 262-0050
(505) 262-0019
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7215
(505) 232-1627

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
93-29
NM
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
93-29
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000F3775
NM
01
NMA100541
MEDICARE PTAN
NM
Enumeration date
05/23/2005
Last updated
03/12/2019
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