Individual
JOHN MATTHEW CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD205855
OR
2086X0206X
Surgical Oncology Physician
Primary
MD205855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182679
—
WA
05
—
500795850
—
OR
Enumeration date
03/26/2012
Last updated
04/19/2024
Update your record
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