Individual
TYLER L CRAWFORD
Active
Individual
TYLER L CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5956231-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107046837101
IHC
UT
01
—
59562311205001
BLUE CROSS
—
05
—
870284448008
—
UT
01
—
870284448TCR
EMIA
UT
01
—
934310
DMBA
UT
Enumeration date
05/15/2006
Last updated
10/14/2015
Update your record
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