Individual
SARA CRUIKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
627 S. EDWIN C. MOSES BLVD, EAST MEDICAL PLAZA, 1ST FLOOR, DAYTON, OH 45417
(937) 223-8840
Mailing address
627 S. EDWIN C. MOSES BLVD, EAST MEDICAL PLAZA, 1ST FLOOR, DAYTON, OH 45417
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57.248352
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
07/07/2021
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