| Doctor Name: | STEPHEN MCCROSKY |
| NPI Number: | 1295804888 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | AP2536 |
| Business Practice Address: | 620 Lee St Winslow, AZ - 860472435 |
| Business Phone Number: | 9282892000 |
| Business Fax Number: | 9282890036 |
| Mailing Address: | Po Box 3630, FLAGSTAFF |
| State: | AZ |
| Postal Code: | 860033630 |
| Phone Number: | 9282136100 |
| Fax Number: | 9287746687 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP2536 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |