Individual
DR. JOHN THOMAS CRITCHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D
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
174400000X
Specialist
Primary
R6605
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201100237
—
MO
Enumeration date
12/12/2006
Last updated
06/20/2012
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