Individual
DR. SETH MONTGOMERY CRISLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-4086
Mailing address
PO BOX 3444, CHARLESTON, WV 25334-3444
(304) 925-4086
(304) 925-4862
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24197
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
07/01/2008
Last updated
04/18/2017
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