Individual provider · NPI-1
Dr. Patty J Crocker, M.D.
Emergency Medicine · Peoria, AZ
NPI number1831188911
StatusActive
Last updated in NPPESMay 13, 2019
Details
- NPI
- 1831188911
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patty J Crocker
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2005
- Last updated
- May 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 21076 | AZ | Yes |
| 207P00000X | Emergency Medicine | J4757 | TX |
Practice location
9069 W Thunderbird RdPeoria, AZ 85381
Phone 623-876-2800 · Fax 623-876-2389
Mailing address
9069 W Thunderbird RdPeoria, AZ 85381
Phone 623-876-2800 · Fax 623-876-2389
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.