Individual
JAY D CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-2489
(785) 295-8359
(785) 231-5988
Mailing address
DEPT CH 14389, PALATINE, IL 60055-4389
(785) 295-5307
(785) 270-7646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-33925
KS
208M00000X
Hospitalist Physician
Primary
04-33925
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200258860B
—
KS
Enumeration date
06/14/2005
Last updated
01/29/2014
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