Individual
CRAIG JAMES VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13 AREA BRANCH HEALTH CLINIC, BUILDING 13127, OCEANSIDE, CA 92058-5109
(760) 763-0306
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-5541
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1241
NE
Other
Enumeration date
04/12/2013
Last updated
10/04/2024
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