Individual
MR. DAVID K CROSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1155 POCATELLO CREEK RD, POCATELLO, ID 83201-2949
(208) 232-0006
(208) 233-8771
Mailing address
1155 POCATELLO CREEK RD, POCATELLO, ID 83201-2949
(208) 232-0006
(208) 233-8771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P92
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806000
—
ID
Enumeration date
11/15/2005
Last updated
09/28/2011
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