Individual
CAROL CRITTENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R-4276
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
R-4276
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11711000020
QUAL CHOICE (LRPM)
AR
01
—
54883
BLUE CROSS BLUE SHIELD
AR
01
—
71033532430
QUAL CHOICE
AR
01
—
S00911
NOVASYS
AR
Enumeration date
09/27/2005
Last updated
12/04/2007
Update your record
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