Mark A Criswell in Eglin Afb - Otolaryngology
Mark A Criswell - NPI 1619947033
Mark A Criswell is a Otolaryngology in Eglin Afb, Florida. Mark A Criswell practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Mark A Criswell is 1619947033. The last update date is 2018-07-11.
Mark A Criswell's current location address is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can contact this provider via phone number 8508838264. The mailing address for Mark A Criswell is 307 Boatner Rd Ste 114, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Criswell |
|---|---|
| Address | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| Phone Number | 8508838264 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., F.A. |
NPI Number Detail
| NPI Number | 1619947033 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
| Address | 307 Boatner Rd Ste 114 |
|---|---|
| City | Eglin Afb |
| State | Florida (FL) |
| Post Code | 325421302 |
| Phone Number | 8508838264 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 01046367A |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21400253 | CO | -- | |
| 27034 | CO | KAISER COMMERCIAL NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark A Criswell by the Centers for Medicare & Medicaid Services?
The Mark A Criswell has been issued the NPI (National Provider Identifier) 1619947033, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark A Criswell?
The Mark A Criswell is situated at 307 Boatner Rd Ste 114, in the city of Eglin Afb, state of FL, with the zip code 325421302.
What is Mark A Criswell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark A Criswell's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619947033 to Mark A Criswell?
The Centers for Medicare & Medicaid Services assigned the 1619947033 to Mark A Criswell on 2006-01-26.
As of what date was the information regarding Mark A Criswell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark A Criswell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-11.