Search › Missouri › 101YM0800X
Roy Crocker
NPI 1225173354 · on the registry since 2007 · sole proprietor
Practice
- Address
- 393 Lawrence 1189
Ash Grove, MO 65604 - Phone
- (417) 343-8556
- Fax
- (417) 832-0059
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri