Individual
ROBERT A CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A54199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A541990
—
CA
Enumeration date
07/20/2006
Last updated
03/07/2023
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