Individual
CRAIG VINCENT PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS. PRESCOTT), FT. SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314
Mailing address
4301 MOW-WAY ROAD, REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS. PRESCOTT), FT. SILL, OK 73503-6300
(580) 458-2134
(580) 458-2314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05714
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281782701
—
TX
Enumeration date
09/12/2006
Last updated
10/24/2011
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