Individual
PHILLIP M CROAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5025 E PACIFIC COAST HWY APT P231, LONG BEACH, CA 90804-3239
(253) 579-3811
Mailing address
5025 E PACIFIC COAST HWY APT P231, LONG BEACH, CA 90804-3239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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