Individual
JOHN DAVID CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6306
(209) 468-7112
Mailing address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6306
(209) 468-7112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA14549
CA
363A00000X
Physician Assistant
PA14549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPA145490
BLUE SHIELD
CA
05
—
OPA145490
—
CA
Enumeration date
11/04/2005
Last updated
04/22/2022
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