Christopher Scott Croom
Gynecologist - Maternal & Fetal Medicine
1 Wyoming St Berry Bldg, Ground Fl
Dayton
, Ohio 45409-2722
Christopher Scott Croom
Gynecologist - Maternal & Fetal Medicine
1 Wyoming St Berry Bldg, Ground Fl
Dayton
, Ohio 45409-2722
(937) 208-6124
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Christopher Scott Croom
- 1 Wyoming St Berry Bldg, Ground Fl
- Dayton, OH
- Zip : 45409-2722
- Fax : (937) 208-6124
- Phone : (937) 208-2516
Second Address
- Christopher Scott Croom
- 1 Wyoming St Berry Bldg, Ground Fl
- Dayton, OH
- Zip : 45409-2722
- Fax : (937) 208-6124
- Phone : (937) 208-2516
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35068819 | OH |
National Provider Identifier
| NPI | 1235134180 |
|---|---|
| Provider Name | Christopher Scott Croom |
| First Address | Dayton, OH 45409-2722 |
| Second Address | Dayton, OH 45409-2722 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 18/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000122996 | ANTHEM PIN (01) | |
| 0242937 | (05) | OH |
| E19593 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.