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Organization

GAYLON E CRAWFORD DO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAYLON E CRAWFORD DO (OWNER)
(928) 367-2508
Entity
Organization

Contact information

Practice address
300 W WHITE MOUNTAIN BLVD, SUITE A, LAKESIDE, AZ 85929
(928) 367-2508
(928) 367-2361
Mailing address
300 W WHITE MOUNTAIN BLVD, SUITE A, LAKESIDE, AZ 85929
(928) 367-2508
(928) 367-2361

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2923
AZ

Other

Enumeration date
03/15/2007
Last updated
02/11/2008
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