Individual
PERFECTO B CRONEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
4859 W 29TH LN, YUMA, AZ 85364-9769
(928) 269-3935
(928) 269-3994
Mailing address
PO BOX 99210, YUMA, AZ 85369-9210
(928) 269-3935
(928) 269-3994
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1710I1002X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORPSMAN
AZ
Enumeration date
01/09/2008
Last updated
01/09/2008
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