Individual
DR. DAVID DEAN CROFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 FAHEY ST, 207 COBB MEDICAL BUILDING, BELFAST, ME 04915-6029
(207) 338-4211
(207) 338-0197
Mailing address
PO BOX 385, BELFAST, ME 04915-0385
(207) 338-4211
(207) 338-0197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
008917
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000917
ANTHEM
ME
01
—
002915
TRICARE
ME
05
—
119830000
—
ME
Enumeration date
07/22/2005
Last updated
03/01/2012
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