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Individual

DR. STEPHEN M CRUSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
340 PEAK ONE DRIVE, FRISCO, CO 80443
(719) 537-0712
(719) 537-6284
Mailing address
PO BOX 150, HOLLY, CO 81047-0150
(719) 537-0712
(719) 537-6284

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27718
CO
207L00000X
Anesthesiology Physician
G36810
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G368100
CA
Enumeration date
03/14/2006
Last updated
07/08/2007
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