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Individual

PAUL G. CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8001 YOUREE DR, SUITE 300, SHREVEPORT, LA 71115-2302
(318) 212-3800
(318) 212-3895
Mailing address
8001 YOUREE DR, SUITE 300, SHREVEPORT, LA 71115-2302
(318) 212-3800
(318) 212-3895

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
015548
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1353591
LA
Enumeration date
06/30/2006
Last updated
11/21/2007
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