Provider Demographics
NPI:1972780054
Name:GARY P CRAWFORD MD INC
Entity type:Organization
Organization Name:GARY P CRAWFORD MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIMINI
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:406-556-5532
Mailing Address - Street 1:PO BOX 1181
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-1181
Mailing Address - Country:US
Mailing Address - Phone:406-556-5532
Mailing Address - Fax:
Practice Address - Street 1:931 HIGHLAND BLVD STE 3330
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6912
Practice Address - Country:US
Practice Address - Phone:406-556-5529
Practice Address - Fax:406-556-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty