NPI

Michael R Crist

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2006-01-19
Last updated
2017-07-14

Specialties

Licenses

License MO
R4A27

Location

Practice location
814 Fairlane Dr
City
Brookfield MO
Postal code
64628-2318
Phone
(660) 258-3397

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Brookfield, MO. 91 records in the public file.

Removal request

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