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PETER ALBERT CRISOLOGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1912 ALABAMA HWY 157, CULLMAN REGIONAL MEDICAL CENTER, CULLMAN, AL 35058-0000
(256) 737-2637
(256) 734-6257
Mailing address
2151 OLD ROCKY RIDGE ROAD, SUITE 106, BIRMINGHAM, AL 35216-7251
(205) 989-1080
(205) 989-1087

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.14016
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000086833
AL
01
051086833
BLUE CROSS BLUE SHIELD
01
2777
HEALTHSPRING OF ALABAMA
AL
01
2777
HEALTH STRATEGIES INC
01
631003288
TRICARE (GROUP)
Enumeration date
11/30/2005
Last updated
09/08/2017
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