Individual
MR. ROBERT L CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2720
(410) 224-0209
Mailing address
PO BOX 64531, BALTIMORE, MD 21264-4531
(410) 280-6568
(410) 280-6515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002641
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045
BCBS-DC
—
01
—
1697390
AETNA/US HEALTHCARE HMO
—
01
—
1831164342
NPI NUMBER
—
01
—
227069787
CHAMPUS/TRICARE PGBA
—
05
—
413802300
—
MD
01
—
7736577
AETNA
—
01
—
92322401
BCBS-MD
—
01
—
D66570
MEDICAL LICENSE
—
01
—
I28465
UPIN
—
Enumeration date
07/14/2005
Last updated
06/16/2008
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