Individual
DR. DANIEL ROBERT CRONK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6027 WALNUT GROVE RD STE 319, MEMPHIS, TN 38120-2128
(901) 226-3882
(901) 226-3883
Mailing address
350 N HUMPHREYS BLVD, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
55484
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025724800
—
NE
05
—
10026135100
—
NE
05
—
1760454706
—
IA
Enumeration date
02/03/2006
Last updated
02/02/2026
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