Individual
WILSON MERRELL CRAGHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
459 S GILBERT RD, SUITE A-138, GILBERT, AZ 85234
(623) 226-8825
Mailing address
1327 E 8TH ST, MESA, AZ 85203-6503
(480) 734-8254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6837
AZ
207Q00000X
Family Medicine Physician
6837
AZ
Other
Enumeration date
09/07/2017
Last updated
01/31/2022
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