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Individual

DR. ROGER DALE CRINER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(870) 735-1500
Mailing address
35 WOOD DUCK COVE, JACKSON, TN 38305
(731) 394-3001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
41459
TN
207Q00000X
Family Medicine Physician
Primary
E4266
AR

Other

Enumeration date
07/30/2006
Last updated
11/29/2021
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