Individual
CYRUS CRYST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00023186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039589
LABOR & INDUSTRY
WA
05
—
8135527
—
WA
01
—
CR8743
BLUE SHIELD
WA
01
—
MD8623
ALASKA MEDICAID
WA
01
—
US0819027
AETNA/USHC PCP
WA
01
—
US4268292
AETNA/USHC SPECIALIST
WA
Enumeration date
07/04/2006
Last updated
06/17/2008
Update your record
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