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DR. JOHN JOSEPH CRISCUOLO D.O.

Student Organized Health Care Education/Training Program

Provider NPI: 1346653136

Provider Information:
DR. JOHN JOSEPH CRISCUOLO D.O.
Gender: M
Not Sole Proprietor

Practice Location:
1524 PINTO LN FL 2  LAS VEGAS, NV 89106-4195 US
Tel: 702-671-6444  Fax: --

Business Mailing Address:
1524 PINTO LN FL 2  LAS VEGAS, NV 89106-4195 US
Tel: 702-671-6444  Fax: --

NPI Information:
NPI: 1346653136
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y208000000XPhysicians
Pediatrics
NVDO2283

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208000000X

Type:

Classification:



Definition:



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