Provider Demographics
NPI:1750445276
Name:CRAWFORD, STANLEY LUKE (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:LUKE
Last Name:CRAWFORD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-8909
Mailing Address - Country:US
Mailing Address - Phone:501-860-0500
Mailing Address - Fax:
Practice Address - Street 1:6701 HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-8909
Practice Address - Country:US
Practice Address - Phone:501-860-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC72602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR123499001Medicaid
AR5J145Medicare ID - Type Unspecified