Doctor Name: | CHRISTINE CROWDER |
NPI Number: | 1003811068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 38093 |
Business Practice Address: | 2912 N West St Flagstaff, AZ - 860041974 |
Business Phone Number: | 9287743627 |
Business Fax Number: | 9287741400 |
Mailing Address: | 2912 N West St, FLAGSTAFF |
State: | AZ |
Postal Code: | 860041974 |
Phone Number: | 9287743627 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 38093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |