Individual
MICHAEL CREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
581 S WASHINGTON ST, DENVER, CO 80209-4307
(303) 777-0903
(303) 495-5016
Mailing address
PO BOX 663, ENGLEWOOD, CO 80151-0663
(303) 777-0903
(303) 495-5016
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0001028
CO
Other
Enumeration date
07/18/2006
Last updated
10/27/2014
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