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General NPI Number Information
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NPI Number | 1427257252
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Entity Type | Organization
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Legal Business Name | STEVE CRAWFORD, L.L.C.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 929 FEE FEE RD STE. 100
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3807
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Country | US
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Telephone | 314-469-8500
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Fax | 314-434-5355
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Provider Business Mailing Address
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Address Line | PO BOX 1025
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-0025
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Country | US
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Telephone | 314-469-8500
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Fax | 314-434-5355
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVE CRAWFORD
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Credential |
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Telephone | 314-469-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2007106747
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License Number State | MO
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