Individual
DENNIS WAYNE CRABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 N 14TH ST, DENISON, IA 51442-1452
(712) 263-5071
(712) 263-6106
Mailing address
115 N 14TH ST, DENISON, IA 51442-1452
(712) 263-5071
(712) 263-6106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18961
IA
208D00000X
General Practice Physician
18961
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141002
—
IA
01
—
18961
LICENSE NUMBER
IA
Enumeration date
01/31/2006
Last updated
01/17/2008
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