Individual
GUY DAVID CROCETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 298-2505
(505) 298-2985
Mailing address
5904 HOLLY AVENUE NE, ALBUQUERQUE, NM 87113-2472
(505) 298-2505
(505) 298-2985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
92-203
NM
Other
Enumeration date
12/13/2006
Last updated
01/12/2012
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