Individual
PERRY WILLIAM CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
391 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-3411
(630) 226-1006
Mailing address
13525 EAGLE RIDGE DR APT 625, FORT MYERS, FL 33912-1888
(954) 816-6071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT-9113494
FL
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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