Provider Demographics
NPI:1609337831
Name:CRONYN, VERSCHOYLE HUME CLARKE (MD)
Entity Type:Individual
Prefix:MR
First Name:VERSCHOYLE
Middle Name:HUME CLARKE
Last Name:CRONYN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2050 S BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8030
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:430 S BLOSSER RD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-4908
Practice Address - Country:US
Practice Address - Phone:805-361-8900
Practice Address - Fax:805-361-8990
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2022-08-18
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Provider Licenses
StateLicense IDTaxonomies
CAA179781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine