Individual
BRADLEY DEAN CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A99249
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A99249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200459709
—
MO
01
—
209086
BLUE SHIELD
MO
01
—
751783
HEALTHLINK
MO
Enumeration date
07/07/2006
Last updated
04/27/2024
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