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Individual

WILLIAM L CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6904
Mailing address
PO BOX 1076, MOREHEAD, KY 40351-5076
(606) 783-6500
(606) 783-6904

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
869
AK
363A00000X
Physician Assistant
Primary
PA2084
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10059120
AMERIGROUP
GA
05
811502707A
GA
05
811502707B
GA
05
811502707C
GA
05
811502707D
GA
Enumeration date
06/16/2006
Last updated
04/18/2016
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