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Individual
RONALD D CROCK
Active
Individual
RONALD D CROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35066830C
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35066830C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142081
—
OH
01
—
1376559799
GROUP NPI
OH
01
—
1902827876
GROUP NPI - MPCC
—
01
—
2157320
GROUP MEDICAID
—
01
—
2157366
GROUP MEDICAID - MPCC
OH
01
—
ME9303389
GROUP MEDICARE - MPCC
OH
Enumeration date
11/14/2005
Last updated
04/08/2019
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