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Individual

DR. GARR J CROOKSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
2314 CENTRAL AVE, ALAMEDA, CA 94501-4514
(510) 865-8113
(510) 865-8115
Mailing address
2314 CENTRAL AVE, ALAMEDA, CA 94501-4514
(510) 865-8113
(510) 865-8115

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
108267-4101
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00001814488-05
UHC
UT
Enumeration date
11/16/2006
Last updated
04/26/2012
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