Individual
DR. MATTHEW JAMES CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
Mailing address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016018189
MO
Other
Enumeration date
06/15/2016
Last updated
07/08/2019
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