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General NPI Number Information
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NPI Number | 1437976271
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Entity Type | Organization
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Legal Business Name | CROWLEY MEDICAL
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1030 W 25TH STREET SUITE H
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City | YUMA
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State | AZ
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Zip | 85364-8384
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Country | US
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Telephone | 928-210-9165
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Fax | 480-874-7015
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Provider Business Mailing Address
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Address Line | PO BOX 5870
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City | MESA
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State | AZ
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Zip | 85211-5870
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Country | US
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Telephone | 480-874-7014
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Fax | 480-874-7015
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN W CROWLEY
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Credential | DO
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Telephone | 480-874-7013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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