Organization
WANTECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALVA CRAWLEY (OWNER)
(540) 605-1789
Entity
Organization
Contact information
Practice address
610 N MAIN ST, SUITE 252, BLACKSBURG, VA 24060-3311
(540) 605-1789
(540) 605-1789
Mailing address
610 N MAIN ST, SUITE 252, BLACKSBURG, VA 24060-3311
(540) 605-1789
(540) 605-1789
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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