Healthcare Provider Details

I. General information

NPI: 1508358516
Provider Name (Legal Business Name): CRAIG A CROMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CHERRY GROVE RD
MIDDLEBROOK VA
24459
US

IV. Provider business mailing address

40 CHERRY GROVE RD
MIDDLEBROOK VA
24459
US

V. Phone/Fax

Practice location:
  • Phone: 540-887-2627
  • Fax:
Mailing address:
  • Phone: 540-887-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101039753
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: