Dr. David William Crotty
Neuromusculoskeletal Medicine (NMM)
1310 Club Dr Mare Island
Vallejo
, California 94592-1187
Dr. David William Crotty
Neuromusculoskeletal Medicine (NMM)
1310 Club Dr Mare Island
Vallejo
, California 94592-1187
(707) 638-5946
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. David William Crotty
- 1310 Club Dr Mare Island
- Vallejo, CA
- Zip : 94592-1187
- Fax : (707) 638-5946
- Phone : (707) 638-5216
Second Address
- Dr. David William Crotty
- 1310 Club Dr Mare Island
- Vallejo, CA
- Zip : 94592-1187
- Fax : (707) 638-5946
- Phone : (707) 638-5216
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | CA4982 | CA |
National Provider Identifier
| NPI | 1275975302 |
|---|---|
| Provider Name | Dr. David William Crotty |
| First Address | Vallejo, CA 94592-1187 |
| Second Address | Vallejo, CA 94592-1187 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2013 |
| Last Update Date | 17/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E08850 | (02) | CA |
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.