Individual
KAREN ELIZABETH CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10566 N HWY 191, ELFRIDA, AZ 85610-9021
(520) 642-2222
(520) 364-4261
Mailing address
1205 F AVENUE, DOUGLAS, AZ 85607
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169558
—
AZ
Enumeration date
12/15/2006
Last updated
06/12/2013
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