Individual
DR. SUSAN CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2005022713
MO
2084N0400X
Neurology Physician
Primary
67320
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149894
—
AZ
05
—
207231200
—
MO
Enumeration date
07/14/2006
Last updated
08/31/2022
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