Dr. Cameron David Crockett
Pediatrician Child Neurologist
1 Childrens Pl
Saint Louis
, Missouri 63110-1002
Dr. Cameron David Crockett
Pediatrician Child Neurologist
1 Childrens Pl
Saint Louis
, Missouri 63110-1002
(314) 362-9462
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Cameron David Crockett
- 660 South Euclid Avenue Neurology Campus Box 8111
- Saint Louis, MO
- Zip : 63110
- Fax : (314) 362-9462
- Phone : (314) 362-3296
Second Address
- Dr. Cameron David Crockett
- 1 Childrens Pl
- Saint Louis, MO
- Zip : 63110-1002
- Phone : (314) 454-6120
Reviews
FAQs
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Is Dr. Cameron David Crockett a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 2016019449 | MO |
| Y | 2084N0402X | Child Neurologist | 2016019449 | MO |
National Provider Identifier
| NPI | 1407206634 |
|---|---|
| Provider Name | Dr. Cameron David Crockett |
| First Address | Saint Louis, MO 63110 |
| Second Address | Saint Louis, MO 63110-1002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2016 |
| Last Update Date | 25/05/2019 |
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.