Individual
DR. J. DAVID CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2323 OHIO ST, AUGUSTA, KS 67010-2153
(316) 775-6341
(316) 775-6680
Mailing address
2323 OHIO ST, AUGUSTA, KS 67010-2153
(316) 775-6341
(316) 775-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1000-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090650C
—
KS
Enumeration date
08/26/2005
Last updated
01/04/2008
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