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Individual

DR. KENT R CREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Mailing address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36058
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01360585
CO
Enumeration date
06/21/2005
Last updated
09/25/2007
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