Individual
DR. CRAIG RICHARD KAI PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1955 FREMONT AVE, IDAHO FALLS, ID 83402-1510
(208) 526-2195
(208) 526-8631
Mailing address
1955 FREMONT AVE, IDAHO FALLS, ID 83402-1510
(208) 526-2195
(208) 526-8631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002187A
IN
207Q00000X
Family Medicine Physician
O-1118
ID
261QX0100X
Occupational Medicine Clinic/Center
Primary
O-1118
ID
Other
Enumeration date
10/17/2005
Last updated
05/12/2026
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