Organization
LACROIX MEDICAL CENTER
Active
Other names
roderic c crist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERIC CLAYTON CRIST MD (DOCTOR)
(573) 339-0004
Entity
Organization
Contact information
Practice address
3095 LEXINGTON AVE, SUITE 200, CAPE GIRARDEAU, MO 63701-2602
(573) 339-0004
(573) 335-9974
Mailing address
3095 LEXINGTON AVE, SUITE 200, CAPE GIRARDEAU, MO 63701-2602
(573) 339-0004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2H52
MO
Other
Enumeration date
03/22/2007
Last updated
06/28/2012
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