Individual
MR. JONATHAN DAVID CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1711 27TH ST, BRAUNLIN BUILDING, SUITE 206, PORTSMOUTH, OH 45662-2654
(740) 356-6395
(740) 354-2138
Mailing address
1711 27TH ST, BRAUNLIN BUILDING, SUITE 206, PORTSMOUTH, OH 45662-2654
(740) 356-6395
(740) 354-2138
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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