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Individual

DR. BRIAN JOSEPH CRISP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 EAST CHURCH STREET, DEPARTMENT OF OB/GYN, SANTA MARIA, CA 93454-5906
(805) 739-3474
Mailing address
117 WEST BUNNY AVE, SANTA MARIA, CA 93458-2805
(805) 739-3474

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40292
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
G64483
CA

Other

Enumeration date
05/20/2006
Last updated
03/07/2023
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