Organization
KELLY J KRIZAN
Active
Other names
Crusader Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J KRIZAN MD (OWNER/PROVIDER)
(509) 527-8273
Entity
Organization
Contact information
Practice address
1025 S 2ND AVE, WALLA WALLA, WA 99362-4116
(509) 527-8273
(509) 527-8234
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7132319
—
WA
Enumeration date
07/06/2006
Last updated
11/01/2016
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