Individual
DR. JOHN CLIFTON CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4580 BLUEBONNET BLVD, BATON ROUGE, LA 70809-5604
(504) 754-2334
Mailing address
PO BOX 9600, DEPT 09-039 MEDICAL CENTER ANESTHESIOLOGISTS, TEXARKANA, TX 75505-9600
(318) 868-3151
(318) 861-3156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
021149
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
021149
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050089988
MEDICARE RAILROAD
LA
05
—
1992020
—
LA
01
—
428255575B
BLUE CROSS LA
LA
Enumeration date
10/11/2005
Last updated
01/11/2024
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