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1669448957
SAMUEL R. CROCKETT
WILKES BARRE, PA
NPI
1669448957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA MD073611L)
Enumeration Date
2006-02-27
Last Update Date
2020-08-12
Business Address
Dr. SAMUEL R. CROCKETT M.D.
1000 E MOUNTAIN BLVD DEPT OF ANESTHESIA
WILKES BARRE, PA 18711-0027
Phone number: 570-826-7850
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Mailing Address
Dr. SAMUEL R. CROCKETT M.D.
100 N ACADEMY AVE
DANVILLE, PA 17822-3034
Phone number: 570-271-6144
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