Individual
CRYSTAL RENE NORGREN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A156125
CA
2085R0202X
Diagnostic Radiology Physician
4301102929
MI
Other
Enumeration date
06/24/2013
Last updated
06/25/2019
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