Individual
RAPHAEL CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 225-3700
(615) 873-8121
Mailing address
1059 N NEGLEY AVE APT 12, PITTSBURGH, PA 15206-1559
(937) 694-7641
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
05/09/2024
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