Individual
CRAIG H FOCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
336 BLOOMFIELD ST STE 201, JOHNSTOWN, PA 15904-3271
(814) 266-5650
(814) 266-5653
Mailing address
336 BLOOMFIELD ST STE 201, JOHNSTOWN, PA 15904-3271
(814) 266-5650
(814) 266-5653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009255L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001600760
—
PA
Enumeration date
06/13/2005
Last updated
11/17/2022
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