TERRY LEE CROASDALE

MANTECA, CA
NPI1295713147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  C43012)
Enumeration Date2006-01-01
Last Update Date2010-04-09
Business Address
DR. TERRY LEE CROASDALE M.D.
1262 E NORTH ST
MANTECA, CA 95336-4962
Phone number: 209-823-7646
Mailing Address
DR. TERRY LEE CROASDALE M.D.
1262 E NORTH ST
MANTECA, CA 95336-4962
Phone number: 209-823-7646
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