NPI | 1821663766 |
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Doing Business As | JONATHAN L. CRIST, DO |
Former Legal Business Name | JONATHAN L. CRIST , DO |
Entity Type | Organization |
Authorized Contact | JONATHAN L CRIST Psychiatrist 401-254-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2021-05-24 |
Last Update Date | 2021-05-24 |