Individual
ANTHONY CRAWFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 NE 63RD ST, OKLAHOMA CITY, OK 73105-6407
(405) 840-1359
Mailing address
601 NE 63RD ST, OKLAHOMA CITY, OK 73105-6407
(405) 840-1359
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OK
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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