Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 9891 | NV |
Y | 207VG0400X | Gynecologist | 9891 | NV |
NPI | 1780662601 |
---|---|
Provider Name | Dr. Bruce Scott Crawford |
First Address | Reno, NV 89511-2060 |
Second Address | Reno, NV 89511-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 10/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002016147 | (05) | NV |
G53615 | (02) |