Individual
DR. SHANNON DAVID CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 WILLOW RD BLDG 334, MENLO PARK, CA 94025-2539
(877) 780-5559
Mailing address
795 WILLOW RD BLDG 334, MENLO PARK, CA 94025-2539
(877) 780-5559
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A78343
CA
2085R0202X
Diagnostic Radiology Physician
MD169923
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500615514
—
OR
Enumeration date
07/19/2006
Last updated
12/09/2023
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