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Individual
DR. PETER D CROCKER
Active
Individual
DR. PETER D CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012184
IL
111N00000X
Chiropractor
5854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050841
UNITED HEALTHCARE
AZ
01
—
2194521
FIRST HEALTH
AZ
Enumeration date
08/08/2006
Last updated
07/09/2012
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