Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | G35576 | CA |
NPI | 1629205679 |
---|---|
Provider Name | Dr. Francis Jay Crosson JR. |
First Address | Oakland, CA 94612-3466 |
Second Address | Oakland, CA 94612-3466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 17/06/2009 |