Individual
DR. CRYSTAL RENAE MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6445
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016034323
MO
207P00000X
Emergency Medicine Physician
9408135
KS
Other
Enumeration date
05/21/2013
Last updated
12/05/2016
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