Doctor Name: | DR. DOLORES L CRESPO |
NPI Number: | 1730106618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35045798 |
Business Practice Address: | 333 Conover Dr Suite E Franklin, OH - 450051900 |
Business Phone Number: | 9377463088 |
Business Fax Number: | 9377468752 |
Mailing Address: | 333 Conover Dr, Suite E FRANKLIN |
State: | OH |
Postal Code: | 450051900 |
Phone Number: | 9377463088 |
Fax Number: | 9377468752 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35045798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |