# DR. ROBERT LEON CROCKER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356580542
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 040080 | CT | — |
| 207Q00000X | Family Medicine Physician | 042-0010301 | VT | — |
| 207Q00000X | Family Medicine Physician | 08720 | MS | Yes |
| 207Q00000X | Family Medicine Physician | 11127 | NH | — |
| 207Q00000X | Family Medicine Physician | 118044 | MO | — |
| 207Q00000X | Family Medicine Physician | 11849 | HI | — |
| 207Q00000X | Family Medicine Physician | 200001571 | NC | — |
| 207Q00000X | Family Medicine Physician | 22710 | OK | — |
| 207Q00000X | Family Medicine Physician | 25MA07091200 | NJ | — |
| 207Q00000X | Family Medicine Physician | 36653 | KY | — |
| 207Q00000X | Family Medicine Physician | 8386 | ND | — |
| 207Q00000X | Family Medicine Physician | 9902 | MT | — |
| 207Q00000X | Family Medicine Physician | A70404 | CA | — |
| 207Q00000X | Family Medicine Physician | C1-0006033 | DE | — |
| 207Q00000X | Family Medicine Physician | MD12756 | TN | — |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 02/11/2009