Individual
DR. ADAM BENJAMIN CRISOLOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2682
(256) 737-2849
Mailing address
500 S PRESTON ST, ROOM 305, LOUISVILLE, KY 40202-1702
(502) 852-8696
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.48879
AL
207L00000X
Anesthesiology Physician
ME162317
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118695400
—
FL
Enumeration date
04/11/2017
Last updated
07/12/2024
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