Individual
HOWARD NELSON CROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA153625
OR
363A00000X
Physician Assistant
Primary
PA153625
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487696985
CURRY HEALTH DISTRICT NPI
OR
05
—
500605180
—
OR
01
—
93-0937095
CURRY HEALTH DISTRICT TAX I.D.
OR
05
—
PA12369
—
CA
Enumeration date
08/08/2006
Last updated
08/25/2015
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