Individual
DR. JONATHAN L. CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
172 E. CUSHING ST., PROVIDENCE, RI 02906
(401) 272-5454
(401) 404-4301
Mailing address
172 E. CUSHING ST., PROVIDENCE, RI 02906
(401) 272-5454
(401) 404-4301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO384
RI
Other
Enumeration date
01/04/2007
Last updated
08/10/2015
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