Individual
RONALD CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
781 BLACK OAK DR, SUITE 102, MEDFORD, OR 97504-9502
(541) 789-4236
(541) 789-5965
Mailing address
100 E MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25142
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277917
—
OR
Enumeration date
03/07/2007
Last updated
07/08/2007
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