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Individual

OLIVER WILSON CRAWFORD JR.

Active
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Individual

OLIVER WILSON CRAWFORD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28100
AL
207RP1001X
Pulmonary Disease Physician
Primary
28100
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108056
AL
01
51048269
BCBS
AL
Enumeration date
12/23/2005
Last updated
04/15/2010
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