Organization
CRAWFORD SURGICAL FIRST ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN R BRISTOW (BILLING MANAGER)
(520) 449-3487
Entity
Organization
Contact information
Practice address
2450 N WILLOW RANCH RD, TUCSON, AZ 85749-6705
(520) 449-3487
(520) 203-8290
Mailing address
2450 N WILLOW RANCH RD, TUCSON, AZ 85749-6705
(520) 449-3487
(520) 203-8290
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
AP3152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467691287
INDIVIDUAL NPI
AZ
Enumeration date
07/26/2013
Last updated
11/16/2020
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