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Individual

DR. DANIEL LIND CROCKER

Active
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Individual

DR. DANIEL LIND CROCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16848
NC
207RH0003X
Hematology & Oncology Physician
16848
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1105986
FIRST HEALTH ID
NC
01
25771
BC BS OF NC ID
NC
01
451911
UNITED HEALTHCARE ID
NC
01
5928133
AETNA ID
NC
01
7106359
CIGNA HEALTHCARE ID
NC
05
8925771
NC
01
95350
MEDCOST ID
NC
Enumeration date
07/27/2005
Last updated
09/21/2018
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