| Roderic C Crist | |
|
3095 Lexington Ave Suite 200 Cape Girardeau MO 63701-2602 | |
| (573) 339-0004 | |
| (573) 335-9974 |
| Full Name | Roderic C Crist |
|---|---|
| Speciality | Family Medicine |
| Location | 3095 Lexington Ave, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Roderic Clayton Crist (DOCTOR) |
| Authorized Official Contact | 5733390004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roderic C Crist 3095 Lexington Ave Suite 200 Cape Girardeau MO 63701-2602 Ph: (573) 339-0004 | Roderic C Crist 3095 Lexington Ave Suite 200 Cape Girardeau MO 63701-2602 Ph: (573) 339-0004 |
| NPI Number | 1912023441 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912023441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R2H52 (Missouri) | Primary |
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