NPI | 1265758460 |
---|---|
Doing Business As | JOHN A CROCKETT MD, A PROFESSIONAL CORPORATION |
Entity Type | Organization |
Authorized Contact | KARL F STEMMLER Credentialer 619-258-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G230620) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G230620) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2022-12-22 |