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NICHOLAS D. CRALL D.O.

Addiction Medicine >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1316262645

Individual Registrant:
 NICHOLAS D. CRALL D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 719-384-5446  Fax: --

Contact information for business:
605 SKYLINE DR  FORT COLLINS, CO 80521-3326 US
Tel: --  Fax: --

Registration Information:
NPI: 1316262645
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084A0401XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Addiction Medicine
TXQ1384
N2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
VA0102203754
N2084P0802XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
TXQ1384
Y2084B0040X
TXQ1384

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
VIRGINIA LICENSE0102203754VA01
TEXAS LICENSEQ1384TX01
COLORADO LICENSEDR.0063859CO01




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