Provider Demographics
NPI:1982783973
Name:CRAWFORD, HARRY STEPHENSON III (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:STEPHENSON
Last Name:CRAWFORD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1012 RESERVOIR ST STE B
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4457
Mailing Address - Country:US
Mailing Address - Phone:540-908-2281
Mailing Address - Fax:540-908-2617
Practice Address - Street 1:1012 RESERVOIR ST STE B
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4457
Practice Address - Country:US
Practice Address - Phone:540-908-2281
Practice Address - Fax:540-908-2617
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101056153OtherLICENSE
VA00W430H49Medicare ID - Type Unspecified