Individual
DR. JAMES W CRAWFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 HUNTER DR, PUEBLO, CO 81001-1812
(719) 561-9295
Mailing address
708 HUNTER DR, PUEBLO, CO 81001-1812
(719) 561-9295
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
15830
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01158302
—
CO
Enumeration date
02/15/2006
Last updated
07/08/2007
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