Individual
OLIVER WILSON CRAWFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218 HOSPITAL AVE, SUITE B, OZARK, AL 36360-2064
(334) 774-5864
(334) 774-1437
Mailing address
PO BOX 863, OZARK, AL 36361-0863
(334) 774-5864
(334) 774-1437
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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