Individual
JEFFREY ALAN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Mailing address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C8246
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127657001
—
AR
01
—
5J761
BLUE CROSS ID
AR
Enumeration date
01/05/2006
Last updated
10/13/2016
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