IndividualActive
John Crocker
NPI 1144300377 · Family Medicine Physician · Centerville, WA
Provider details
- NPI number
- 1144300377
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 016884 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
366 Simcoe Mt. Road
Centerville, WA 98613
Phone: (509) 834-1947
Approximate (ZIP-level) locationGet directions
Mailing address
366 Simcoe Mt. Road
Centerville, WA 98613
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2007-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.