Individual
GREGORY R CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1123 N EVERGREEN RD, SPOKANE VALLEY, WA 99216-1138
(509) 363-3100
(509) 363-0300
Mailing address
PO BOX 808, VERADALE, WA 99037-0808
(509) 363-3100
(509) 363-0300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD61241332
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD61241332
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD61241322
MD LICENSE
WA
Enumeration date
06/01/2017
Last updated
07/17/2023
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