Provider Demographics
NPI:1952661423
Name:CRIGHTON, MARY NANETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:NANETTE
Last Name:CRIGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1230 E KINGSLEY ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-7211
Mailing Address - Country:US
Mailing Address - Phone:417-875-3730
Mailing Address - Fax:417-875-3738
Practice Address - Street 1:1230 E KINGSLEY ST
Practice Address - Street 2:SUITE C
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7211
Practice Address - Country:US
Practice Address - Phone:417-875-3730
Practice Address - Fax:417-875-3738
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR8C31207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology