Individual
DR. PATRICK G MCCROSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
4502 LOUISIANA HWY 951, JACKSON, LA 70748
(225) 634-0413
Mailing address
PO BOX 7828, METAIRIE, LA 70010-7828
(504) 451-6423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3309
LA
207R00000X
Internal Medicine Physician
Primary
15060
MS
207R00000X
Internal Medicine Physician
19928
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02481083
—
MS
Enumeration date
07/13/2006
Last updated
05/03/2018
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