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Individual

DR. DAVID JEFFREY CROYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2002015251
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2002015251
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-107225
IL BLUE CROSS BLUE SHIELD
IL
01
063896
HEALTH ALLIANCE
05
149237001
AR
01
185214
MO BLUE CROSS BLUE SHIELD
MO
05
205919707
MO
01
430954380CAP
MERCY HEALTH PLAN
01
481849
HEALTHLINK
Enumeration date
07/31/2006
Last updated
10/29/2013
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