Individual
WILLIAM CHRISTOPHER CROLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
336074675
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036-112974
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME110671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004095900
—
FL
01
—
01615142
BCBS PROVIDER NUMBER
IL
05
—
036112974
—
IL
05
—
131506
—
AL
05
—
131839
—
AL
01
—
14FZ1
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/29/2006
Last updated
11/29/2011
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