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Contact Information

DAVID J CROCKETT, MD
4545 E CHANDLER BLVD
SUITE 202
PHOENIX, AZ85048-7645
 Phone: 480-659-2330
 Fax: 480-659-2544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DAVID J CROCKETT · (Male)

NPI # 1225282882
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2008
Last updated 02/15/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 49273
  • AZ Medicaid 922449
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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