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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
10419 FLEMING RD, CARTERVILLE, IL 62918-3391
(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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