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Individual
DR. TRICIA CROAKE
Active
Individual
DR. TRICIA CROAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076834C
OH
208VP0014X
Interventional Pain Medicine Physician
35076834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2268988
—
OH
01
—
42799948
AETNA
OH
01
—
76834
CHOICE CARE
OH
01
—
CR4057144
MEDICARE PTAN
OH
Enumeration date
05/24/2005
Last updated
01/09/2024
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