Individual
DR. JOSEPH J. CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N. CURTIS RD, SUITE 200, BOISE, ID 83706-1300
(208) 367-8333
(208) 367-2003
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
M-4707
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003601
BLUE SHIELD
ID
05
—
002745702
—
ID
01
—
1129895
CIGNA MEDICARE
ID
01
—
45831
BLUE CROSS
ID
01
—
P00060779
RR MEDICARE
ID
Enumeration date
02/01/2007
Last updated
12/01/2009
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