Individual
MR. CRISPIN PATRICK ABBOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2100 LYNN RD, THOUSAND OAKS, CA 91360-8038
(805) 497-4974
Mailing address
1303 BAYSIDE CIR, OXNARD, CA 93035-2148
(805) 984-9402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15449
CA
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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