Provider Demographics
NPI:1609857614
Name:CREWS, STEVEN ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALAN
Last Name:CREWS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:129 BRADSHAW HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37854-4629
Mailing Address - Country:US
Mailing Address - Phone:352-551-6237
Mailing Address - Fax:
Practice Address - Street 1:2305 N GATEWAY AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8709
Practice Address - Country:US
Practice Address - Phone:658-822-0108
Practice Address - Fax:865-882-0099
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 0005959207Q00000X
TN0000003650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80395EMedicare PIN
FLD95943Medicare UPIN