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NPI Code Detail

MEDICARE: BENJAMIN DOUGLAS CREWS

MEDICARE: BENJAMIN DOUGLAS CREWS
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
1227900000XRegistered Respiratory Therapist2014038526MO

General Provider Information

NPI Number : 1841134392
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN DOUGLAS CREWS
Provider Business Mailing Address
First Line : 3015 N BALLAS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2329
Country : US
Telephone Number : 131-425-5869
Fax Number : 314-996-5122
Provider Business Practice Location Address
First Line : 3015 N BALLAS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2329
Country : US
Telephone Number : 314-996-5122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ BENJAMIN DOUGLAS CREWS ” Practice Location

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