Individual
MARK L. CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 LONE OAK RD, PADUCAH, KY 42003-5092
(270) 415-9970
(270) 415-9976
Mailing address
1333 LONE OAK RD, PADUCAH, KY 42003-5092
(270) 415-9970
(270) 415-9976
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
22858
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200014204
RAILROAD MEDICARE
KY
05
—
64228588
—
KY
Enumeration date
08/31/2006
Last updated
10/08/2018
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