DR. Charles Ray Crispen JR., D.O.

NPI #1750365409 in Las Vegas, Nevada

Provider Information

NPI Number: 1750365409
Entity Type: Individual
Name: DR. Charles Ray Crispen JR., D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Dec 5, 2005
Last Updated: Apr 17, 2014

Practice Location

Address: 2604 HIGH RANGE DR
City: Las Vegas
State: Nevada
ZIP Code: 89134-7564
Phone: (702) 522-9203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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