Individual
JONATHAN G CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-4400
(573) 884-5994
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017032649
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A95667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A956670
—
CA
Enumeration date
06/08/2007
Last updated
02/12/2018
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