Individual
DR. CRISTIN M TRECROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
380 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2444
(336) 835-9355
(336) 835-8581
Mailing address
PO BOX 249, YADKINVILLE, NC 27055-0249
(336) 679-4963
(336) 679-2549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200800369
NC
207Q00000X
Family Medicine Physician
OS010068L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018288970004
—
PA
01
—
232359401
GREAT VALLEY HEALTH
PA
05
—
5910956
—
NC
Enumeration date
02/03/2006
Last updated
12/28/2010
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