Individual
BENJAMIN R CRAYCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-5253
(916) 454-6780
Mailing address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-5253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87598
CA
208M00000X
Hospitalist Physician
Primary
A87598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A875980
—
CA
Enumeration date
09/11/2006
Last updated
12/13/2021
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