Mark A Criswell in Eglin Afb - Plastic Surgery Within The Head & Neck
Mark A Criswell - NPI 1619947033
Mark A Criswell is a Plastic Surgery Within The Head & Neck in Eglin Afb, Florida. Mark A Criswell practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. 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 |
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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 |
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Provider Enumeration Date | 2006-01-26 |
Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
Address | 307 Boatner Rd Ste 114 |
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City | Eglin Afb |
State | Florida (FL) |
Post Code | 325421302 |
Phone Number | 8508838264 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery Within The Head & Neck |
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Taxonomy | 207Yx0007X |
Licence No | 56111 |
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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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 Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this field of practice is 207Yx0007X.
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.