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Individual

ROBERT ANTON CROTTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
120 N PERKINS RD, STE A, STILLWATER, OK 74075
(405) 743-3668
(405) 743-1718
Mailing address
120 N PERKINS RD, STE A, STILLWATER, OK 74075-5524
(405) 743-3668
(405) 743-1718

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
167
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480179134
RAILROAD MEDICARE
OK
01
731313428001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/26/2006
Last updated
04/04/2012
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