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Individual
PETER ALBERT CRISOLOGO
Active
Individual
PETER ALBERT CRISOLOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.14016
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000086833
—
AL
01
—
051086833
BLUE CROSS BLUE SHIELD
—
01
—
2777
HEALTHSPRING OF ALABAMA
AL
01
—
2777
HEALTH STRATEGIES INC
—
01
—
631003288
TRICARE (GROUP)
—
Enumeration date
11/30/2005
Last updated
09/08/2017
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