Organization
J L CROW PLASTIC SURGERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDSON L CROW MD (PRESIDENT / OWNER / PHYSICIAN)
(218) 779-9347
Entity
Organization
Contact information
Practice address
1191 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58201-4033
(701) 335-9717
(701) 746-1663
Mailing address
1191 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58201-4033
(701) 335-9717
(701) 746-1663
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
27269
MN
208200000X
Plastic Surgery Physician
Primary
4766
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14106
—
ND
Enumeration date
10/25/2012
Last updated
10/25/2012
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