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Individual

BLAKE D. CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3831 HUGHES AVE, SUITE 500, CULVER CITY, CA 90232
(310) 838-3834
Mailing address
3831 HUGHES AVE, SUITE 500, CULVER CITY, CA 90232-2751
(310) 838-3834

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A110825
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/14/2007
Last updated
12/06/2021
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