Organization Name: | W. ROBERT CRUMPTON, M.D. |
NPI Number: | 1629267687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM ROBERT CRUMPTON (PHYSICIAN) |
Mailing Address: | 14642 Newport Ave Ste 200 Tustin |
State: | CA US |
Postal Code: | 927806058 |
Phone Number: | 7146694467 |
Fax Number: | 7146694088 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |