Individual
ROBERT CULLEN CROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87401
(505) 368-6001
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2013-0076
NM
Other
Enumeration date
01/03/2014
Last updated
05/03/2019
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