Organization
VEIN & ESTHETIC CENTRE
Active
Parent organization
VEIN & ESTHETIC CENTRE
Organization subpart
Yes
Provider details
NPI number
Legal business name
VEIN & ESTHETIC CENTRE
Authorized official
DR. JOHN THOMAS CRITCHLOW M.D. (OWNER/MANAGER)
(573) 651-1882
Entity
Organization
Contact information
Practice address
2400 LUCY LEE PKWY, SUITE F, POPLAR BLUFF, MO 63901-2429
(573) 651-1882
(573) 334-5302
Mailing address
3065 WILLIAM ST, SUITE 105, CAPE GIRARDEAU, MO 63703-6393
(573) 651-1882
(573) 334-5302
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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