BRIAN DALE CRISPELL

MEDIA, PA
NPI1306806765
Professional NameBRIAN CRISPELL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: PA  SC005698)
Additional Taxonomies213E00000X Podiatrist
(Licence: PA  SC005698)
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: PA  SC005698)
213ES0000X Podiatrist, Sports Medicine
(Licence: PA  SC005698)
Enumeration Date2006-03-27
Last Update Date2014-06-13
Business Address
-- BRIAN DALE CRISPELL
1078 W BALTIMORE PIKE RIDDLE HEALTH CENTER 1, SUITE 209
MEDIA, PA 19063-5105
Phone number: 610-334-7657
Mailing Address
-- BRIAN DALE CRISPELL
2301 GREEN ST APT 8
PHILADELPHIA, PA 19130-3143
Phone number: 610-334-7657