Individual
KEVIN ELLIOTT CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, NP
Contact information
Practice address
512 E SOUTHERN AVE, SUITE D, TEMPE, AZ 85282-5209
(480) 921-0767
(480) 921-9567
Mailing address
512 E SOUTHERN AVE, SUITE D, TEMPE, AZ 85282-5209
(480) 921-0767
(480) 921-9567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN047180
AZ
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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