DR. Mark A Criswell, M.D., F.A.C.S.

NPI #1619947033 in Eglin Afb, Florida

Provider Information

NPI Number: 1619947033
Entity Type: Individual
Name: DR. Mark A Criswell, M.D., F.A.C.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D., F.A.C.S.
Enumeration Date: Jan 26, 2006
Last Updated: Jul 11, 2018

Practice Location

Address: 307 BOATNER RD STE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542
Phone: (850) 883-8264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary
Otolaryngology - Sleep Medicine — Sleep Medicine	207YS0012X
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X

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