| Organization Name: | VEIN & ESTHETIC CENTRE |
| NPI Number: | 1093941668 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN THOMAS CRITCHLOW (OWNER/MANAGER) |
| Mailing Address: | 2400 Lucy Lee Pkwy Suite F Poplar Bluff |
| State: | MO US |
| Postal Code: | 639012429 |
| Phone Number: | 5736511882 |
| Fax Number: | 5733345302 |
| NPI Enumeration Date: | 06/09/2009 |
| NPI Last Update Date: | 06/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |