J L Crow Plastic Surgery Services

NPI #1629321856 in Grand Forks, North Dakota

Provider Information

NPI Number
1629321856
Entity Type
Organization
Organization Name
J L Crow Plastic Surgery Services
Primary Specialty
Plastic Surgery
Enumeration Date
Oct 25, 2012
Last Updated
Oct 25, 2012

Practice Location

Address
1191 SOUTH COLUMBIA ROAD
ZIP Code
58201-4033
Phone
(701) 335-9717

Authorized Official

Name
JUDSON L CROW, MD
Title
PRESIDENT / OWNER / PHYSICIAN
Phone
(218) 779-9347

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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