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JAMES V. CRAWFORD, MD LLC

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Company Details

Name: JAMES V. CRAWFORD, MD LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 May 2018 (7 years ago)
Financial Date End: 31 May 2026
Entity Number: 608347
Place of Formation: IDAHO
File Number: 608347
ZIP code: 83713
County: Ada County
Principal Address: 13900 W WAINWRIGHT DR 102 BOISE, ID 83713
Mailing Address: JAMES CRAWFORD STE 100 1209 N SUMMERBROOK AVE MERIDIAN, ID 83642-8750

Agent

Name Role Address
James Crawford Agent 1209 N SUMMERBROOK AVE, SUITE 100, MERIDIAN, ID 83642

Member

Name Role Address Appointed On
Idaho Otology, LLC Member 13900 W WAINWRIGHT DR, BOISE, ID 83713 2020-07-14

National Provider Identifier

NPI Number:
1548751563
Certification Date:
2022-05-19

Authorized Person:

Name:
JAMES CRAWFORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207YX0901X - Otology & Neurotology Physician
Is Primary:
Yes

Contacts:

Fax:
2089385306

Filing

Filing Name Filing Number Filing date
Annual Report 0006232155 2025-05-04
Annual Report 0005704516 2024-04-25
Change of Registered Office/Agent/Both (by Entity) 0005415001 2023-10-01
Annual Report 0005176655 2023-04-03
Annual Report 0004724149 2022-05-03

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State