Individual
DR. JASON A CRAFT
Active
Individual
DR. JASON A CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
19184
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624501
—
MS
01
—
1184753485
NPI
MS
01
—
512G700003
UP MEDICARE PTAN
—
01
—
512I200016
M'CARE PTAN
MS
01
—
P00619788
RAILROAD MEDICARE PTAN
MS
01
—
P00621369
RAILROAD MEDICARE PTAN-GROUP#CC1164
MS
Enumeration date
03/04/2007
Last updated
02/11/2013
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