Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD047156L | PA |
NPI | 1013989730 |
---|---|
Provider Name | Dr. Pamela A Crawford |
First Address | Franklin, PA 16323-1242 |
Second Address | Franklin, PA 16323-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 17/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012893070003 | (05) | PA |
F31424 | (02) | PA |