Individual
DAVID R. CROTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, SUITE # 300, OMAHA, NE 68114-4108
(402) 354-5250
(402) 354-3437
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 477-5240
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
L6019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722033
—
IA
05
—
10025044500
—
NE
05
—
205486103
—
MO
05
—
47037660402
—
NE
01
—
P00334395
RAILROAD MEDICARE
NE
Enumeration date
05/12/2006
Last updated
12/13/2013
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