Individual
CHRISTOPHER M CRISCUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2187
(402) 758-5746
Mailing address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2187
(402) 758-5746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
18755
NE
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
18755
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557501
—
NE
Enumeration date
05/03/2006
Last updated
04/19/2013
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