Individual
DR. JONATHAN M CRAIGHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WEST STADIUM BLVD, JEFFERSON CITY, MO 65109
(573) 635-8000
(573) 556-1710
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-1710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2004010827
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207392408
—
MO
01
—
CD6058
RAILROAD GROUP
MO
01
—
P00233081
MEDICARE RAILROAD
MO
Enumeration date
12/22/2005
Last updated
06/28/2023
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