Provider Demographics
NPI:1760581235
Name:CROZIER, DEANNA K (MD)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:K
Last Name:CROZIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10583
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-0583
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5600 GIRBY RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3320
Practice Address - Country:US
Practice Address - Phone:251-435-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2013-03-21
Deactivation Date:2012-09-25
Deactivation Code:
Reactivation Date:2013-03-21
Provider Licenses
StateLicense IDTaxonomies
ALMD.4400207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-33246OtherBCBS
AL009933436Medicaid
AL511-00498OtherBCBS
AL009936056Medicaid
AL009936054Medicaid
AL009936507Medicaid
AL1760581235OtherTRICARE SOUTH
AL510-03475OtherBCBS
AL515-30392OtherBCBS
AL009933436Medicaid
AL1760581235OtherTRICARE SOUTH
ALC70649Medicare UPIN