Individual
CRISPIN J. MAR
Active
Individual
CRISPIN J. MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PA10329
CA
363AS0400X
Surgical Physician Assistant
Primary
PA10329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10329
PHYSICIAN ASSISTANT
CA
01
—
8402
PHYSICIAN ASSISTANT
AZ
Enumeration date
07/08/2006
Last updated
06/21/2024
Update your record
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