| Doctor Name: | JOHN N CRAWFORD |
| NPI Number: | 1003816240 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01026721A |
| Business Practice Address: | 11141 Parkview Plaza Dr Ste 110 Fort Wayne, IN - 468451714 |
| Business Phone Number: | 2602669100 |
| Business Fax Number: | 2602669101 |
| Mailing Address: | 7910 W Jefferson Blvd Ste 110, FORT WAYNE |
| State: | IN |
| Postal Code: | 468044159 |
| Phone Number: | 2604364116 |
| Fax Number: | 2604361878 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | 01026721A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |