Provider Demographics
NPI:1932285665
Name:CROWE, AUBREY DERRILL (MD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:DERRILL
Last Name:CROWE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 590009
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35259-0009
Mailing Address - Country:US
Mailing Address - Phone:205-877-4457
Mailing Address - Fax:205-877-4405
Practice Address - Street 1:3940 MONTCLAIR RD
Practice Address - Street 2:#302
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-2427
Practice Address - Country:US
Practice Address - Phone:205-803-1294
Practice Address - Fax:205-803-1295
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2011-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALAL3095208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC76433Medicare UPIN