Organization
DOUGLAS CROWLEY MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MICHAEL CROWLEY MD (CEO/ SOLE PROVIDER)
(760) 815-7064
Entity
Organization
Contact information
Practice address
3863 CLAIREMONT DR, SAN DIEGO, CA 92117-5831
(858) 500-2693
Mailing address
940 BLUEJACK RD, ENCINITAS, CA 92024-4061
(760) 815-7064
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A107750
CA
Other
Enumeration date
06/27/2012
Last updated
10/02/2013
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