Provider Demographics
NPI:1265535827
Name:MCCROREY, STEVEN TREVOR (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:TREVOR
Last Name:MCCROREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:502 EAST BOONE AD 106
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99258-0001
Mailing Address - Country:US
Mailing Address - Phone:509-313-4066
Mailing Address - Fax:509-313-5516
Practice Address - Street 1:704 EAST SHARP AVENUE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99258-2322
Practice Address - Country:US
Practice Address - Phone:509-313-4066
Practice Address - Fax:503-313-5516
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00037220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8935357OtherCRIMEVICTIMS
911019392OtherCOMMERCIAL
WA8242596OtherCHPW
WA8242596Medicaid
ID805582100Medicaid
WA156522OtherL & I
WAKQ324OtherREGENCE