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General NPI Number Information
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NPI Number | 1558569509
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Entity Type | Individual
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Provider Name | CHAD MICHAEL TOWNSEND CRYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 932 WANAAO RD
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City | KAILUA
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State | HI
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Zip | 96734-3565
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Country | US
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Telephone | 240-418-6624
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Fax |
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Provider Business Mailing Address
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Address Line | 932 WANAAO RD
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City | KAILUA
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State | HI
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Zip | 96734-3565
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Country | US
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Telephone | 240-418-6624
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 17901
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9399487-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101241525
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License Number State | VA
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