Individual
MR. THOMAS R CROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 ARLINGTON BLVD., STE. 210, FALLS CHURCH, VA 22042
(703) 534-1000
(703) 534-1000
Mailing address
6565 ARLINGTON BLVD., STE. 210, FALLS CHURCH, VA 22042
(703) 534-1000
(703) 536-7763
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101027328
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006723381
—
VA
Enumeration date
01/30/2006
Last updated
01/26/2012
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