Individual
MR. CRAIG A HUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2410 MERCED ST, SAN LEANDRO, CA 94577-4211
(510) 278-2700
Mailing address
2410 MERCED ST, SAN LEANDRO, CA 94577-4211
(510) 278-2700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/18/2012
Last updated
02/15/2015
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