Search › Idaho › 1223X0400X
Derrick Crawford, DDS, MS
NPI 1497323976 · on the registry since 2021 · sole proprietor
Practice
- Address
- 505 S Mountain View Rd
Moscow, ID 83843 - Phone
- (208) 882-6360
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 1223X0400X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho