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Individual

DR. JOHN CROASDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1451 N GARDNER ST, PHOENIX EMERGENCY SERVICES OF SCOTT COUNTY, LLC, SCOTTSBURG, IN 47170-7751
(812) 752-3456
Mailing address
1471 MALLARD XING, SCOTTSBURG, IN 47170-7493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01042107A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
237840
MEDICARE CORE
IN
Enumeration date
06/05/2006
Last updated
02/18/2008
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