Organization
VEIN & ESTHETIC CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J THOMAS CRITCHLOW M.D. (OWNER)
(573) 651-1882
Entity
Organization
Contact information
Practice address
3065 WILLIAM ST, SUITE 105, CAPE GIRARDEAU, MO 63703-6393
(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
R6605
MO
Other
Enumeration date
12/13/2007
Last updated
06/20/2012
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