Individual
ALAN RICHARD CREBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 W LINCOLN RD, KOKOMO, IN 46902-3275
(765) 453-5696
(765) 455-4323
Mailing address
PO BOX 6550, KOKOMO, IN 46904-6550
(765) 453-5696
(765) 455-4323
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01027403
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188240
—
IN
Enumeration date
07/07/2005
Last updated
12/13/2012
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