Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID SHAN CROCKETT, MD
ActiveDR. DAVID SHAN CROCKETT, MD is a Geriatric Psychiatry healthcare provider located in HOLLISTER, California. NPI 1376605535 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · HOLLISTER, CA
Registration Details
- NPI Number
- 1376605535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2006 (19.686752478709 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G21002 (CA)
Practice Information
- Address
-
911 SUNSET DRHOLLISTER, CA, 950235602Browse CA providers · Browse ZIP 95023
- Phone
- 8316375771
- Fax
- 8316389040
- Primary Specialty
-
Geriatric Psychiatry
2084P0805X
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.