Individual
MATTHEW R CRISPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7610
Mailing address
4305 S WILSON AVE, SIOUX FALLS, SD 57106-7636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R059840
SD
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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