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Individual

CRAIG W. NAUGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3808 S. GREYSTONE CT., SPRINGFIELD, MO 65804
(417) 889-3332
(417) 881-1410
Mailing address
3808 S. GREYSTONE CT., SPRINGFIELD, MO 65804
(417) 889-3332
(417) 881-1410

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2002004006
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2002004006
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156131
BLUECROSS BLUESHIELD
05
205957103
MO
Enumeration date
01/16/2006
Last updated
09/24/2009
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