Individual
DOUGLAS CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 CROWN POINT CIR, SUITE 120, GRASS VALLEY, CA 95945-9514
(530) 265-1437
Mailing address
500 CROWN POINT CIR, SUITE 120, GRASS VALLEY, CA 95945-9514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G77557
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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