Ronald M Crockett Bs DC PC

NPI #1558392019 in Salem, Oregon

Provider Information

NPI Number: 1558392019
Entity Type: Organization
Organization Name: Ronald M Crockett Bs DC PC
Subpart: Yes (part of a larger organization)
Parent Organization: RONALD M CROCKETT BS DC PC
Primary Specialty: Chiropractor
Enumeration Date: Jul 5, 2006
Last Updated: Nov 16, 2012

Practice Location

Address: 4070 MACLEAY RD SE
City: Salem
State: Oregon
ZIP Code: 97317-5801
Phone: (503) 371-9796

Authorized Official

Name: DR. RONALD M CROCKETT
Title: PRESIDENT
Phone: (503) 371-9796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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