Individual
MR. JAMES CRAIG EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7600 S. HWY 69A, MIAMI, OK 74354-1016
(918) 542-1655
(918) 745-3601
Mailing address
7600 S. HWY 69A, MIAMI, OK 74354-1016
(918) 542-1655
(918) 745-3601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0519915
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010055413
RR MEDICARE
—
01
—
040361
BCBS OF KANSAS
KS
05
—
100229540B
—
KS
01
—
12436
ANTHEM
MO
Enumeration date
06/21/2006
Last updated
02/28/2022
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