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Organization

CRYSTAL ANESTHESIOLOGY INC

Active
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Organization

CRYSTAL ANESTHESIOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP RICHARDSON MD (PRESIDENT)
(262) 342-6695
Entity
Organization

Contact information

Practice address
681 S PARKER ST, ORANGE, CA 92868-4719
(262) 342-6695
Mailing address
PO BOX 4163, IRVINE, CA 92616-4163
(262) 342-6695

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
04/11/2023
Last updated
06/03/2023
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