Organization
THOMAS L. CRAIG III M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L CRAIG III M.D. (PRESIDENT)
(216) 761-0330
Entity
Organization
Contact information
Practice address
2225 NOBLE RD, CLEVELAND HEIGHTS, OH 44112-1726
(216) 761-0330
Mailing address
2225 NOBLE RD, CLEVELAND HEIGHTS, OH 44112-1726
(216) 761-0330
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
35057208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496395
BLUE CROSS BLUE SHIELD
OH
05
—
0816915
—
OH
Enumeration date
11/01/2006
Last updated
07/20/2009
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