DR. Crystal Vaughn Manse, M.D.

NPI #1366702870 in O Fallon, Illinois

Provider Information

NPI Number: 1366702870
Entity Type: Individual
Name: DR. Crystal Vaughn Manse, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 18, 2012
Last Updated: Sep 12, 2024

Practice Location

Address: 3 SAINT ELIZABETH BLVD STE 4000
City: O Fallon
State: Illinois
ZIP Code: 62269-1284
Phone: (618) 233-5480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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