| Earl J Crosswright MD PA | |
|
841 W Mallory St Pensacola FL 32501-6321 | |
| (850) 332-6704 | |
| (888) 793-0432 |
| Full Name | Earl J Crosswright MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 841 W Mallory St, Pensacola, Florida |
| Authorized Official Name and Position | Earl J Crosswright (OWNER) |
| Authorized Official Contact | 8507125000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Earl J Crosswright MD PA 841 W Mallory St Pensacola FL 32501-6321 Ph: (850) 332-6704 | Earl J Crosswright MD PA 841 W Mallory St Pensacola FL 32501-6321 Ph: (850) 332-6704 |
| NPI Number | 1922299171 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 6901997451 |
|---|---|
| Medicare Enrollment ID | O20070813000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922299171 | NPI | - | NPPES |
| DF9635 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Earl J Crosswright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376532739 PECOS PAC ID: 5092806786 Enrollment ID: I20070809000621 |
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