DR. Terry Lee Croasdale, M.D.

NPI #1295713147 in Manteca, California

Provider Information

NPI Number: 1295713147
Entity Type: Individual
Name: DR. Terry Lee Croasdale, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 1, 2006
Last Updated: Apr 9, 2010

Practice Location

Address: 1262 E NORTH ST
City: Manteca
State: California
ZIP Code: 95336-4962
Phone: (209) 823-7646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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