Individual
MR. ROBERT L CROWDER
Active
Individual
MR. ROBERT L CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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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