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DR. JULIA DIANE CRAWFORD MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1932282498

Individual Registrant:
DR. JULIA DIANE CRAWFORD MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13350 BIG BASIN WAY  BOULDER CREEK, CA 95006 US
Tel: 831-338-6491  Fax: 831-338-2767

Contact information for business:
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT RANCHO CORDOVA, CA 95670-7956 US
Tel: --  Fax: --

Registration Information:
NPI: 1932282498
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
HIMD-10730
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG145227

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
491407-02HI05
HMSA BILLING NUMBER0000219816HI01




HEALTH CARE JOBS CA - Page 1



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