Cronk, Roger Leroy
Cronk, Roger Leroy is an individual health care provider with primary practice located at 8020 Constitution Place Ne #202, Albuquerque NM 87110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cronk, Roger Leroy can be contacted via phone (505) 998-3096.Contact Information
Primary practice address
8020 Constitution Place Ne #202
Albuquerque NM 87110
Phone: (505) 998-3096
Fax: (505) 998-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A71580 | New Mexico |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A71580 | New Mexico |
Profile Details
| NPI number | 1811963499 |
|---|---|
| LBN Legal business name | Cronk, Roger Leroy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811963499 | NPPES |
| New Mexico | MEDICAID | 41061 | |
| New Mexico | MEDICAID | 456849 |
Popular Providers
-
Mullen, Sean E
4411 The 25 Way Ne Ste 150, Albuquerque NM 87109-5888 -
Clark, Richard Travis
2211 Lomas Blvd Ne , Albuquerque NM 87106-2719 -
Akiya, Fredrick I
4411 The 25 Way Ne Ste 150, Albuquerque NM 87109-5888 -
Phung, David
4411 The 25 Way Ne Ste 150, Albuquerque NM 87109-5888 -
Lee, Ihn P
4411 The 25 Way Ne Ste 150, Albuquerque NM 87109-5888 -
Parker, Russell Kenneth
1613 Bayita Ln Nw , Albuquerque NM 87107-3320 -
Rivera, Eugenio
4411 The 25 Way Ne Ste 150, Albuquerque NM 87109-5888 -
Agha, Farooq P
4411 The 25 Way Ne Ste 150, Albuquerque NM 87109-5888