Individual
BRIAN R CRICHLOW
Active
Individual
BRIAN R CRICHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101236455
VA
207W00000X
Ophthalmology Physician
Primary
200400660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010089701
—
VA
05
—
010311063
—
VA
01
—
137UE
BCBS OF NC
NC
01
—
146403
ANTHEM BCBS
VA
01
—
146404
ANTHEM BCBS
VA
05
—
89137UE
—
NC
01
—
I07378
UPIN
—
Enumeration date
10/17/2006
Last updated
11/11/2020
Update your record
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