Individual provider · Type 1 NPI

Brian Dale Crispell

Foot & Ankle Surgery Podiatrist · Media, PA

NPI number 1306806765 Active

Practice location

1078 W Baltimore Pike, Riddle Health Center 1, Suite 209
Media, PA 19063-5105

Mailing address

2301 Green St, Apt 8
Philadelphia, PA 19130-3143

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XSC005698 (PA)
Primary Podiatric Medicine Podiatrist 213EP1101XSC005698 (PA)
Sports Medicine Podiatrist 213ES0000XSC005698 (PA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC005698 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1306806765

Brian Dale Crispell's National Provider Identifier is 1306806765, issued on Mar 27, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Media, PA. The record was last updated on Jun 13, 2014.