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Brian Dale Crispell
Foot & Ankle Surgery Podiatrist in Media, Pennsylvania
NPI 1306806765

Brian Dale Crispell is a Foot & Ankle Surgery Podiatrist based in Philadelphia, PA and is specialized in Foot & Ankle Surgery. Brian Dale Crispell practices in Media, PA. The NPI Number for Brian Dale Crispell is 1306806765 and holds a License No. SC005698 (Pennsylvania).

The current practice location address for Brian Dale Crispell is 1078 W Baltimore Pike, Media, PA and can be reached out via phone at 610-334-7657. You can also correspond with Brian Dale Crispell through the mailing address at 2301 GREEN ST, PHILADELPHIA, PA - 19130-3143 (mailing address contact number: 610-334-7657).

Location: 1078 W Baltimore Pike, Media, PA, 19130-3143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306806765
Provider Name
Brian Dale Crispell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1078 W Baltimore Pike, Media, PA, 19130-3143
Phone Number
610-334-7657
Fax Number
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1015531700005 05 PA
329832 01 PA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1078 W Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-5105
Phone Number
610-334-7657
Fax Number
person
Provider Business Mailing Address Details
Address
1078 W Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-5105
Phone Number
610-334-7657
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
SC005698 (Pennsylvania)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
SC005698 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
SC005698 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC005698 (Pennsylvania)
Definition
Definition to come...
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