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Individual

BRIAN DANIEL CROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 2ND AVE STE C1, BOWLING GREEN, KY 42101-1791
(270) 780-2690
Mailing address
825 2ND AVE STE C1, BOWLING GREEN, KY 42101-1791
(270) 780-2690

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59271
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59271
LICENSE
KY
05
7100684390
KY
Enumeration date
03/21/2019
Last updated
04/01/2025
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