Michael K Crawford Pc | |
13321 N Meridian Ave Ste 210 Oklahoma City OK 73120-8356 | |
(405) 748-4343 | |
(405) 748-5040 |
Full Name | Michael K Crawford Pc |
---|---|
Speciality | Internal Medicine |
Location | 13321 N Meridian Ave Ste 210, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Michael Kenneth Crawford (PRESIDENT) |
Authorized Official Contact | 4057484343 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Michael K Crawford Pc 13321 N Meridian Ave Ste 210 Oklahoma City OK 73120-8356 Ph: (405) 748-4343 | Michael K Crawford Pc 13321 N Meridian Ave Ste 210 Oklahoma City OK 73120-8356 Ph: (405) 748-4343 |
NPI Number | 1932238474 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 03/11/2008 |
Medicare PECOS PAC ID | 0042311573 |
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Medicare Enrollment ID | O20070727000016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932238474 | NPI | - | NPPES |
586091296002 | Other | OK | BLUE CROSS BLUE SHIELD |
5078297 | Other | OK | AETNA |
671856 | Other | OK | FIRST HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14749 (Oklahoma) | Primary |
Provider Name | Michael K Crawford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780689307 PECOS PAC ID: 1254432867 Enrollment ID: I20070726000674 |
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