Individual
DR. MELISSA KAY CROCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 LOS GAMOS DR STE 300, SAN RAFAEL, CA 94903-1850
(415) 444-4440
(415) 492-6215
Mailing address
1650 LOS GAMOS DR STE 300, SAN RAFAEL, CA 94903-1850
(415) 444-4440
(415) 492-6215
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K4400
TX
207VG0400X
Gynecology Physician
A53333
CA
207VG0400X
Gynecology Physician
K4400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105836403
—
TX
01
—
8AD897
BC/BS
TX
Enumeration date
07/10/2006
Last updated
09/06/2024
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