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NPI Code Detail

MEDICARE: MARK S CRAWFORD CRNA

MEDICARE: MARK S CRAWFORD CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistCRNA000266NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457343360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK S CRAWFORD CRNA
Provider Business Mailing Address
First Line : 9127 W RUSSELL RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1253
Country : US
Telephone Number : 702-878-0070
Fax Number : 702-209-2064
Provider Business Practice Location Address
First Line : 9127 W RUSSELL RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1253
Country : US
Telephone Number : 702-878-0070
Fax Number : 702-209-2064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 12/27/2017

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Directions to “ MARK S CRAWFORD CRNA” Practice Location

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