| 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 |