Provider Demographics
NPI:1851033500
Name:CROFF, CHRISTA MARGARET (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:MARGARET
Last Name:CROFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CHRISTA
Other - Middle Name:MARGARAET
Other - Last Name:SUPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:221 POLK ROAD 231
Mailing Address - Street 2:
Mailing Address - City:COVE
Mailing Address - State:AR
Mailing Address - Zip Code:71937-9658
Mailing Address - Country:US
Mailing Address - Phone:479-234-6808
Mailing Address - Fax:
Practice Address - Street 1:1125 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1908
Practice Address - Country:US
Practice Address - Phone:479-713-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program