Individual
JOSEPH CREAZZO JR.
Active
Individual
JOSEPH CREAZZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000429
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167149
BC/BS
—
05
—
3352049
—
TN
01
—
P00190667
PALMETTO GBA
—
Enumeration date
10/11/2005
Last updated
01/03/2018
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