Individual
MRS. COLLEEN M. CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
125 BAPTIST WAY STE 4C, PENSACOLA, FL 32503-2274
(448) 227-6330
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01537
KS
363AM0700X
Medical Physician Assistant
PA.1381
AL
363AM0700X
Medical Physician Assistant
Primary
PA9107885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01537
KS LICENSE
KS
05
—
200970330A
—
KS
01
—
KA1610042
MEDICARE PTAN
KS
Enumeration date
07/25/2008
Last updated
02/23/2026
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