Doctor Name: | PAUL WALTER CROWL |
NPI Number: | 1104867514 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 1006 |
Business Practice Address: | 1002 E Central Blvd Anadarko, OK - 730054405 |
Business Phone Number: | 4052472551 |
Business Fax Number: | 4052478258 |
Mailing Address: | 1002 E Central Blvd, ANADARKO |
State: | OK |
Postal Code: | 730054405 |
Phone Number: | 4052472551 |
Fax Number: | 4052478258 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |