| Dr Guy A Crawford, MD | |
|
1209 W Target Range Rd, Nogales, AZ 85621-2466 | |
| (520) 287-4747 | |
| (520) 285-3136 |
| Full Name | Dr Guy A Crawford |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1209 W Target Range Rd, Nogales, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093799413 | NPI | - | NPPES |
| 080143457 | Other | AZ | RAILROAD |
| 152182 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21894 (Arizona) | Primary |
| Entity Name | Children's Clinics For Rehabilitative Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063454346 PECOS PAC ID: 2264503408 Enrollment ID: O20080617000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Guy A Crawford, MD 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 287-4747 | Dr Guy A Crawford, MD 1209 W Target Range Rd, Nogales, AZ 85621-2466 Ph: (520) 287-4747 |
James Lyle Derickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
Valerie A Wohl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 | |
Kenneth Jones, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487 | |
La Kesha S Francis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Rd Ste 100, Nogales, AZ 85621 Phone: 520-287-4747 Fax: 520-287-4487 | |
William L Bartholomew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Bernardo Chavira, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |