Individual
DR. DAVID G CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985100 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5100
(402) 559-2909
Mailing address
139 S 40TH ST, OMAHA, NE 68131-3003
(402) 595-3939
(402) 595-3898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6264
NE
Other
Enumeration date
06/26/2010
Last updated
10/17/2011
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