Individual
CHRISTOPHER CRUDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 428-2592
Mailing address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OL60869240
WA
Other
Enumeration date
04/24/2018
Last updated
07/08/2022
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