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Individual

DR. MICHAEL ANTHONY CRUCITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6750
Mailing address
5524 GROSSMONT CENTER DR., LA MESA, CA 91942-3014
(619) 644-6750

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C39374
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C393740
CA
Enumeration date
08/09/2006
Last updated
07/08/2007
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