Individual provider · Type 1 NPI

Crystal Vaughn Manse, MD

Internal Medicine Physician · O Fallon, IL

NPI number 1366702870 Active

Practice location

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284

Call (618) 233-5480 Map

Fax (618) 222-4792

Mailing address

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281

Other practice locations

  • 375th Medical Group, 310W Losey St, Scott Afb, IL 62225 · (618) 256-7799
  • 2200 Bergquist Dr, Wilford Hall Ambulatory Surgical Center, Lackland A F B, TX 78236-9907 · (210) 292-7805

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X0101255760 (VA)
Hospitalist Physician 208M00000X036139867 (IL)
Internal Medicine Physician Primary 207R00000X036139867 (IL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

58 other providers at this address

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About NPI 1366702870

Crystal Vaughn Manse, MD's National Provider Identifier is 1366702870, issued on May 18, 2012. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in O Fallon, IL. The record was last updated on Sep 12, 2024.