Individual
MAUREEN LEE CROTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
154
OK
213ER0200X
Radiology Podiatrist
154
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
154
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780270A
—
OK
01
—
1720467483
DME NPI
OK
Enumeration date
07/08/2005
Last updated
06/14/2017
Update your record
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