Individual
ALYSA M CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2110
(319) 356-3392
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2110
(319) 356-3392
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100240
IA
363A00000X
Physician Assistant
—
IA
363A00000X
Physician Assistant
—
IN
363AS0400X
Surgical Physician Assistant
100240
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00685459
RR MEDICARE
IN
Enumeration date
09/11/2007
Last updated
07/12/2022
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