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Individual
DR. CHRISTOPHER KREAG POULOS
Active
Individual
DR. CHRISTOPHER KREAG POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
01061116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01061116A
STATE LICENSE
IN
01
—
524557
POSTGRAD TRAINING PERMIT
TX
Enumeration date
02/07/2007
Last updated
07/08/2007
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