Individual
TERRY A CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A-1454-08
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41021339
—
NM
Enumeration date
10/12/2005
Last updated
04/27/2016
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