Organization
MARY J. CRAWFORD, DO
Active
Other names
Paris Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO CRAWFORD D.O. (OWNER)
(660) 327-4911
Entity
Organization
Contact information
Practice address
102 E MARION ST, PARIS, MO 65275-1041
(660) 327-4911
(660) 327-5501
Mailing address
102 E MARION ST, PARIS, MO 65275-1041
(660) 327-4911
(660) 327-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R2J93
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080187042
RAILROAD MEDICARE
—
05
—
242583102
—
MO
05
—
599120102
—
MO
Enumeration date
11/01/2006
Last updated
01/28/2015
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