Edgar Crockett Od Ps
NPI #1962561639 in Tukwila, Washington
Provider Information
- NPI Number
- 1962561639
- Entity Type
- Organization
- Organization Name
- Edgar Crockett Od Ps
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 70 ANDOVER PARK W
- City
- Tukwila
- State
- Washington
- ZIP Code
- 98188
- Phone
- (206) 439-7588
Authorized Official
- Name
- EDGAR P CROCKETT, OD
- Title
- MANAGER
- Phone
- (206) 439-7588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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