Individual
MR. JEAN M CREPAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6994 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3802
(334) 271-5700
(334) 271-5803
Mailing address
6994 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117-3802
(334) 271-5700
(334) 271-5803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19776
AL
Other
Enumeration date
05/03/2006
Last updated
07/09/2010
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