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Organization
JOHN A CROCKETT MD A PROFESSIONAL CORPORATION
Active
Organization
JOHN A CROCKETT MD A PROFESSIONAL CORPORATION
Active
Other names
JOHN A CROCKETT MD, A PROFESSIONAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
KARL F STEMMLER MPA (CREDENTIALER)
(619) 258-6200
Entity
Organization
Contact information
Practice address
240 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-4863
(925) 519-2866
(925) 692-5522
Mailing address
210 LA COLINA DR, ALAMO, CA 94507-1816
(925) 519-2866
(925) 692-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G230620
CA
207V00000X
Obstetrics & Gynecology Physician
G230620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134221021
—
CA
Enumeration date
04/13/2010
Last updated
12/22/2022
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