Organization · Type 2 NPI
Clyde E. Croom, Od, PA
Customized Equipment (DME) · Raleigh, NC
NPI number
1669628442
Active
Practice location
11 Enterprise St
Raleigh, NC 27607-7323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 791 (NC) |
Customized Equipment (DME): Definition to come...
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About NPI 1669628442
Clyde E. Croom, Od, PA's National Provider Identifier is 1669628442, issued on Aug 13, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Raleigh, NC. The record was last updated on Aug 13, 2008.