CRYSTAL VAUGHN MANSE

O FALLON, IL
NPI1366702870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036139867)
Additional Taxonomies208D00000X General Practice
(Licence: VA  0101255760)
208M00000X Hospitalist
(Licence: IL  036139867)
Enumeration Date2012-05-18
Last Update Date2024-09-12
Business Address
Dr. CRYSTAL VAUGHN MANSE M.D.
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-233-5480
Mailing Address
Dr. CRYSTAL VAUGHN MANSE M.D.
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269-1281
Phone number: 618-234-2120