Individual
DAN F CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 W ELK AVE, DUNCAN, OK 73533-1572
(580) 251-6644
(580) 251-6645
Mailing address
2210 DUNCAN REGIONAL LOOP, DUNCAN, OK 73533-1564
(580) 251-8212
(580) 251-8842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12155
OK
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
12155
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088900E
—
OK
Enumeration date
06/07/2006
Last updated
12/09/2019
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