Healthcare Provider Details

I. General information

NPI: 1437976271
Provider Name (Legal Business Name): CROWLEY MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 01/08/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 W 25TH STREET SUITE H
YUMA AZ
85364-8384
US

IV. Provider business mailing address

PO BOX 5870
MESA AZ
85211-5870
US

V. Phone/Fax

Practice location:
  • Phone: 928-210-9165
  • Fax: 480-874-7015
Mailing address:
  • Phone: 480-874-7014
  • Fax: 480-874-7015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN W CROWLEY
Title or Position: OWNER
Credential: DO
Phone: 480-874-7013