Individual
MR. MICHAEL JOE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4217 28TH AVE NW STE 111, NORMAN, OK 73069-8358
(405) 310-4211
(405) 857-7215
Mailing address
825 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 364-7900
(405) 310-6866
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2315
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338834YWKN
MEDICARE
OK
Enumeration date
01/31/2014
Last updated
10/04/2023
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