Roderic Clayton Crist MD

NPI 1033180120 - Family Medicine - 207Q00000X

NPI Details
NPI 1033180120
Gender Male
Enumeration Date 01/28/2006
Last Updated 08/11/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3095 LEXINGTON AVE
SUITE 200
CAPE GIRARDEAU MO, 63701-2602, US
Phone (573) 339-0004
Fax
Business Location
3095 LEXINGTON AVE
SUITE 200
CAPE GIRARDEAU MO, 63701-2602, US
Phone (573) 339-0004
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number R2H52
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According to our database, Dr. Roderic Clayton Crist MD NPI is 1033180120, taxonomy code is 207Q00000X and license number is R2H52, license state is located at Missouri. Roderic Clayton Crist MD physically located at 3095 Lexington Ave, Cape Girardeau MO, 63701-2602. NPI Number Roderic Clayton Crist MD has the Individual type.

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1033180120 NPI number is provided on an as is basis without warranty of any kind. 1033180120 is maintained by the National Plan & Provider Enumeration System. The contents of Roderic Clayton Crist MD are for informational purposes only.