Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E5185 | CA |
NPI | 1053678680 |
---|---|
Provider Name | Dr. Michael Joseph Crawford |
First Address | San Marcos, CA 92078-4201 |
Second Address | San Marcos, CA 92078-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 30/11/2021 |