Individual
CRYSTAL LEGAYLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8010 MOFFETT RD, SEMMES, AL 36575-5406
(251) 645-8946
(251) 645-8976
Mailing address
6701 AIRPORT BLVD STE D143, MOBILE, AL 36608-6701
(251) 342-3949
(251) 266-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1645
AL
Other
Enumeration date
04/10/2012
Last updated
01/30/2019
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