Healthcare Provider Details

I. General information

NPI: 1497745988
Provider Name (Legal Business Name): ERIC ALAN CRAWLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST STRAUB CLINIC AND HOSPITAL
HONOLULU HI
96813-3097
US

IV. Provider business mailing address

612 HAMAKUA PL
KAILUA HI
96734-3924
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-4321
  • Fax: 808-522-3024
Mailing address:
  • Phone: 808-433-5759
  • Fax: 808-433-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number11455
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: