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Individual

CHRISTOPHER R CRIMMINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2120 W ELK AVE, STE. 2, DUNCAN, OK 73533-1569
(580) 251-1050
(580) 251-1035
Mailing address
2120 W ELK AVE, STE. 2, DUNCAN, OK 73533-1569
(580) 251-1050
(580) 251-1035

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
24110
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0915990004
MEDICARE PTAN
OK
05
200031610A
OK
01
RAILROAD MEDICARE
P00179931
OK
Enumeration date
10/12/2005
Last updated
10/24/2011
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