Doctor Name: | ROGER L CRUMLEY |
NPI Number: | 1003996190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 000000C30402 |
Business Practice Address: | Uci Medical Center 101 The City Drive South Orange, CA - 92868 |
Business Phone Number: | 7144562986 |
Business Fax Number: | |
Mailing Address: | University Head & Neck Surgeon, Po Box 513700 LOS ANGELES |
State: | CA |
Postal Code: | 900513700 |
Phone Number: | 7144566369 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 000000C30402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |