Individual
DR. CHARLES C CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEDICAL DRIVE, SUITE 240, NEWTON, KS 67114-3765
(316) 283-9977
(316) 283-0966
Mailing address
800 MEDICAL DRIVE, SUITE 240, NEWTON, KS 67114-3765
(316) 283-9977
(316) 283-0966
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-15116
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042441
TRICARE
KS
05
—
100086660G
—
KS
01
—
1318290001
CIGNA
KS
01
—
198
PREFERRED HEATH CARE
KS
01
—
200037434
RR MEDICARE
KS
01
—
4097036
AETNA
KS
01
—
668050
FIRST HEALTH NETWORK
KS
Enumeration date
04/26/2006
Last updated
01/14/2013
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