Individual
RODNEY CROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694-1918
(740) 574-9090
Mailing address
2124 WALLER ST, PORTSMOUTH, OH 45662-2965
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
34008027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506438
ANTHEM/BCBS
OH
01
—
000000516700
ANTHEM/BCBS
OH
05
—
2430060
—
OH
Enumeration date
06/13/2006
Last updated
06/11/2008
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