Individual
JACOB CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
(907) 361-5172
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0117
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
32785
NE
Other
Enumeration date
02/08/2019
Last updated
01/26/2022
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