NPI 1003290651

Dustin Crites

Practitioner Physician Assistant South Charleston, WV

Practice location

Address: 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311
Phone: (304) 766-3601
Fax: (304) 766-3477
Mailing address: 1431 Centerpoint Blvd Suite 100, Knoxville, TN 37932-1984

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1901 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1003290651
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2015
Record last updated: 14 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.