DR. TERRY CROASDALE, M.D.

Internal Medicine

Active Individual
NPI: 1295713147

Practice Address

1262 E NORTH ST
Manteca, CA 95336

Phone: (209) 823-7646

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes C43012 (CA)

Frequently Asked Questions

NPI 1295713147 is the National Provider Identifier for DR. TERRY CROASDALE, M.D., a Internal Medicine provider located in Manteca, CA. This NPI was enumerated on January 1, 2006.
DR. TERRY CROASDALE, M.D. practices at 1262 E NORTH ST, Manteca, CA 95336.

Quick Facts

NPI
1295713147
Type
Individual
Enumerated
Jan 1, 2006
Last Updated
Apr 9, 2010

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