Provider Demographics
NPI:1326307422
Name:CROXFORD, DAVID LLOYD (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LLOYD
Last Name:CROXFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 3RD ST SE STE 202
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-3730
Mailing Address - Country:US
Mailing Address - Phone:253-256-4818
Mailing Address - Fax:253-256-4819
Practice Address - Street 1:1420 3RD ST SE STE 202
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3730
Practice Address - Country:US
Practice Address - Phone:253-256-4818
Practice Address - Fax:253-256-4819
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60272853111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology