Vein & Esthetic Centre

NPI #1093941668 in Poplar Bluff, Missouri

Provider Information

NPI Number
1093941668
Entity Type
Organization
Organization Name
Vein & Esthetic Centre
Subpart
Yes (part of a larger organization)
Parent Organization
VEIN & ESTHETIC CENTRE
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Jun 9, 2009
Last Updated
Jun 9, 2009

Practice Location

Address
2400 LUCY LEE PKWY
Address 2
SUITE F
ZIP Code
63901-2429
Phone
(573) 651-1882

Authorized Official

Name
DR. JOHN THOMAS CRITCHLOW, M.D.
Title
OWNER/MANAGER
Phone
(573) 651-1882

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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