Individual
SETH D CROCKETT
Active
Individual
SETH D CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A88099
CA
207R00000X
Internal Medicine Physician
MD212771
OR
207RG0100X
Gastroenterology Physician
2008-00686
NC
207RG0100X
Gastroenterology Physician
Primary
MD212771
OR
Other
Enumeration date
07/19/2006
Last updated
08/30/2022
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