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Individual

GREGORY H CROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1504 E BDWY, STE 214, COLUMBIA, MO 65201
(573) 817-1800
(573) 817-1900
Mailing address
703 W ROLLINS RD, COLUMBIA, MO 65203-2847
(573) 817-1800
(573) 817-1900

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
36468
MO

Other

Enumeration date
02/06/2007
Last updated
11/02/2010
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