NPI | 1699019729 |
---|---|
Other Name | JOEDEAN CRAWFORD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 267485) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 23869) |
207Q00000X Family Medicine (Licence: TN 13071) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: NY 267485) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2013-05-24 |