Organization
MARK K CRAWFORD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANRDA L THOMPSON (CHIEF ADMIN OFFICER)
(505) 242-1711
Entity
Organization
Contact information
Practice address
700 LOMAS BLVD NE, THREE WOODWARD CENTER, ALBUQUERQUE, NM 87102-2568
(505) 242-1711
(505) 242-0189
Mailing address
700 LOMAS BLVD NE, THREE WOODWARD CENTER, ALBUQUERQUE, NM 87102-2568
(505) 242-1711
(505) 242-0189
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
9329
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F3775
—
NM
Enumeration date
02/04/2008
Last updated
02/04/2008
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