DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TERRY LEE CROASDALE, M.D.

Active

Internal Medicine · MANTECA, CA

Registration Details

NPI Number
1295713147
Provider Type
Individual
Gender
Male
NPI Issued
Jan 1, 2006 (20.306049332625 yrs)
Last Updated
Apr 9, 2010
License
C43012 (CA)

Practice Information

Address
1262 E NORTH ST
MANTECA, CA, 953364962
Browse CA providers · Browse ZIP 95336
Phone
2098237646
Fax
2092399594
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in MANTECA, CA

Name Credential NPI
DR. ANIL K SAIN MD 1992791180
DR. RUSSELL P CARTER JR. MD 1528049988
DR. RAHUL LALITCHANDRA PATEL M.D. 1659354868
DR. M JACQUELINE GALANG MD 1972586097
RANDALL KELVIN YEE M.D. 1760465710
DR. ABDUL WAHEED KHAN M.D. 1053399980
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.