(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003290651
Provider Name: DUSTIN CRITES
Entity Type: Individual
Taxonomy Code: 363A00000X
Specialty: Physician Assistant
License Number: 1901
Most Important Dates
Enumeration Date: 07/14/2015
Last Updated: 07/14/2015
Provider Practice Location
4605 MACCORKLE AVE SW
SOUTH CHARLESTON
WV
253091311
Practice Location Phone/Fax
Phone: 3047663601
Fax: 3047663477
Provider Mailing Location
1431 CENTERPOINT BLVD
SUITE 100
KNOXVILLE
TN
379321984
Provider Mailing Phone/Fax
Phone: 8655398000
Fax: 8656945128