MEDICARE: DR. VALERIE ANN CRAWFORD D.O.

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
1	207VG0400X	Gynecology Physician	34007143	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1578771192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE ANN CRAWFORD D.O.

Provider Business Mailing Address
First Line	:	3535 PENTAGON BLVD
Second Line	:	SUITE 220
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-1705
Country	:	US
Telephone Number	:	937-429-7350
Fax Number	:	937-439-7400

Provider Business Practice Location Address
First Line	:	3535 PENTAGON BLVD
Second Line	:	SUITE 220
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-1705
Country	:	US
Telephone Number	:	937-429-7350
Fax Number	:	937-439-7400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	02/18/2016

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