Gaylon E Crawford DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2923 Issued in AZ

Legal business name

GAYLON E CRAWFORD DO INC

Practice address

300 W White Mountain Blvd
Suite a
Lakeside, AZ 85929

Phone

(928) 367-2508

Fax

(928) 367-2361

NPI assigned

Mar 15, 2007

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gaylon E Crawford, DO

Title

Owner

Phone

(928) 367-2508

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1851425359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WHITE MOUNTAIN BLVD",
            "address_2": "SUITE A",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-2508",
            "fax_number": "928-367-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WHITE MOUNTAIN BLVD",
            "address_2": "SUITE A",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-2508",
            "fax_number": "928-367-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLON E CRAWFORD DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GAYLON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-367-2508",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "DO2923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fletcher
• Freter Family Practice PLLC
• Frank Freund, CRNA
• Garnet Pain Relief Services, LLC
• Mark Mitchell Garskof, M.D.
• Patrick Adam Goodman, DMD
• Anthony Daniel Greco, MD
• Chance Green, CRNA
• Melissa Green, CRNA
• Hall Family Practice PLLC

• Family Medicine Physician in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.