Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0401412854 | VA |
Y | 213EG0000X | General Practice | 0401412854 | VA |
NPI | 1003128190 |
---|---|
Provider Name | Dr. Erika A Crawford |
First Address | Clinton, OK 73601-9303 |
Second Address | Clinton, OK 73601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 22/03/2013 |