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Individual

DR. JOHN DAVID CRECCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
255 N 30TH ST, LARAMIE, WY 82072
(307) 742-2141
Mailing address
204 MCCOLLUM DR, SUITE 101, LARAMIE, WY 82070-5151
(307) 745-6065
(307) 745-4936

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5590A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115250500
WY
Enumeration date
09/08/2006
Last updated
07/19/2010
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