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Individual
DR. PATTY J CROCKER
Active
Individual
DR. PATTY J CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21076
AZ
207P00000X
Emergency Medicine Physician
J4757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105650902
—
TX
05
—
417643
—
AZ
01
—
J4757
STATE LICENSE
TX
Enumeration date
10/20/2005
Last updated
05/13/2019
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