Provider Demographics
NPI:1043640618
Name:CRISS, FRANCIS EDWARD JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:EDWARD
Last Name:CRISS
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:HQ, MEDDAC BAVARIA
Mailing Address - Street 2:UNIT 28037 BLDG 700
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HQ, MEDDAC BAVARIA
Practice Address - Street 2:UNIT 28037 BLDG 700
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:910-907-8922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant