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Individual

DR. ROBERT F. CROCHELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PHD., F.A.C.S.

Contact information

Practice address
246 HOSPITAL DR, UKIAH, CA 95482-4533
(707) 462-8011
Mailing address
246 HOSPITAL DR, UKIAH, CA 95482-4533
(707) 463-8011

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35923
MT
208600000X
Surgery Physician
Primary
G069042
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001953070
MOUNTAIN STATE BCBS
WV
01
0170620
WASHINGTON L&I
WA
01
020032890
MEDICARE RAILRAOD
AK
05
1225060031
MT
01
22713
MEDICAL LICENSE
WV
05
3810008522
WV
01
P00389615
RAILROAD MEDICARE
WV
01
WV01756
HEALTH PLAN
WV
Enumeration date
07/06/2006
Last updated
07/22/2021
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