Individual
DR. BILL BRUCE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2413
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8304
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116110A
—
OK
Enumeration date
08/04/2006
Last updated
05/13/2008
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