Braden Justin Criswell
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
2627 E Washington Blvd
Pasadena
, California 91107-1412
Braden Justin Criswell
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
2627 E Washington Blvd
Pasadena
, California 91107-1412
(626) 797-2002
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About
Features
Specialties
- Orthopaedic Surgeon
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Braden Justin Criswell
- 2627 E Washington Blvd
- Pasadena, CA
- Zip : 91107-1412
- Phone : (626) 797-2002
Second Address
- Braden Justin Criswell
- 2627 E Washington Blvd
- Pasadena, CA
- Zip : 91107-1412
- Fax : (626) 798-0567
- Phone : (626) 797-2002
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Is Braden Justin Criswell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | A123715 | CA |
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A123715 | CA |
National Provider Identifier
| NPI | 1851568117 |
|---|---|
| Provider Name | Braden Justin Criswell |
| First Address | Pasadena, CA 91107-1412 |
| Second Address | Pasadena, CA 91107-1412 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2008 |
| Last Update Date | 26/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.