NPI 1629321856

J L Crow Plastic Surgery Services

Organisation Plastic Surgery Physician Grand Forks, ND

Practice location

Address: 1191 South Columbia Road, Grand Forks, ND 58201-4033
Phone: (701) 335-9717
Fax: (701) 746-1663

Authorised official

Name: Judson L Crow
Title: President / Owner / Physician
Phone: (218) 779-9347

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4766 (ND)

Other Plastic Surgery providers in North Dakota →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 27269 (MN)

Registry record

NPI: 1629321856
Entity type: Organization
NPI issued: 25 Oct 2012
Record last updated: 25 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.