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Individual
DR. WILLIAM B CROSON
Active
Individual
DR. WILLIAM B CROSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD27659
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006216
—
OR
01
—
1407812365
GROUP NPI
OR
01
—
930635514
GROUP TAX ID
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
11/29/2006
Last updated
05/20/2013
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