Provider Demographics
NPI:1033651039
Name:CROWDER, VALDA REGINA (MD)
Entity Type:Individual
Prefix:DR
First Name:VALDA
Middle Name:REGINA
Last Name:CROWDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4300 LONDONDERRY ROAD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5317
Mailing Address - Country:US
Mailing Address - Phone:717-988-0000
Mailing Address - Fax:717-782-5716
Practice Address - Street 1:10411 MOTOR CITY DR STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1005
Practice Address - Country:US
Practice Address - Phone:202-669-1607
Practice Address - Fax:202-403-3317
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2021-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101058531207P00000X
NH19346207P00000X
PATMD005231207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine