Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAKIOKA (EH&S SPECIALIST)
(949) 891-0228
Entity
Organization
Contact information
Practice address
13500 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4856
(000) 000-0000
Mailing address
13500 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
OTHER
—
Enumeration date
01/12/2024
Last updated
01/12/2024
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