Dr. Darrel Louis Crissler, O.D.
Optometrist in Fargo, ND. Individual provider (NPI-1).
NPI number1831110626
StatusActive
Last updated in NPPESAug 26, 2015
Details
- NPI
- 1831110626
- Entity type
- Individual (NPI-1)
- Name
- Dr. Darrel Louis Crissler
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Aug 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 483 | ND | Yes |
Practice location
3402 13th Ave S Ste EFargo, ND 58103-6324
Phone 701-234-0939 · Fax 701-234-9442
Mailing address
3402 13th Ave S Ste EFargo, ND 58103-6324
Phone 701-234-0939 · Fax 701-234-9442
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