Individual
JOEL CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 MEDICAL PLAZA DR STE 130, ROSEVILLE, CA 95661-3088
(916) 733-8750
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10302700
NJ
208600000X
Surgery Physician
287637
NY
208600000X
Surgery Physician
MD463921
PA
2086S0129X
Vascular Surgery Physician
Primary
A169661
CA
Other
Enumeration date
08/31/2014
Last updated
09/01/2020
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